Evaluation of Periodontal Changes in Patients Before, During, and After a Fixed Orthodontic Therapy

Abstract

Background: Periodontal complications are one of the common side effects associated with orthodontic therapy. Objective: This study aimed to evaluate the periodontal changes in patients before, during, and after the therapy with a fixed orthodontic appliance. Methods: Out of 38 healthy adolescents with permanent dentition who were indicated for fixed orthodontic therapy were included in this study. Patients were selected from Class I, treated by non-extraction methods, by using conventional orthodontic braces. After their examination and treatment by an orthodontist, the patients were referred to the periodontist before the placement of a fixed orthodontic appliance. The patients underwent the application of a periodontal anamnestic-diagnostic protocol, and the clinical-radiological evaluation. After a fixed orthodontic appliance was placed, the respondents were referred to the periodontist for regular mandatory check-ups, initially, after three months, and later on–after 6 months, after 1 year and after 2 years until the end of orthodontic therapy. Results: An increase in the mean value of the Plaque Index and Sulcus Bleeding Index was found at each check-up after the placement of a fixed orthodontic appliance. There is a statistically significant difference in the presence of gingival hyperplasia found by monitoring the changes after three and six months, and after one and two years following the start of orthodontic therapy. Conclusion: The assessment of periodontal changes in patients before, during and after the completion of fixed orthodontic therapy revealed that there is a strong need for mutual and close cooperation between orthodontist and periodontist during orthodontic therapy.

Influence of Reminder on Enhancing Compliance in Patients with Fixed Orthodontic Appliance Treatment (a Randomized Controlled Clinical Trial)

“…The changes in BI were not significant among the groups. In contrast with the results of our study, Hadzic et al 27 and Soheilifar et al 28 reported that an increment in the mean value of the BI was observed at each check-up after the placement of a fixed orthodontic appliance. Evaluation of BI measurements among research groups using Pearson correlation coefficient, Spearman Rank Correlation and 2-tailed T -test revealed different results.…”

Screening for Selenomonas noxia in a Pediatric and Adolescent Patient Population Reveals Differential Oral Prevalence across Age Groups

“…However, the majority of pediatric studies of these oral pathogens (including S. noxia) usually focus more specifically on patients with diabetes, which greatly increases the risk for the development of periodontitis [24,25]. Combined with studies of pediatric patients with orthodontic brackets, there is some information regarding the pediatric prevalence of this organism-although information regarding healthy patients without serious comorbidities or oral appliances is severely lacking [26][27][28].…”

The Effect of an Educational/ Preventive Program on Adolescents Undergoing Fixed Orthodontic Treatment: A Clinical Study

“…The initial PI was significantly reduced after the institution of the preventive protocol. Other authors [9,22] also found high plaque indices in orthodontic patients, which were reduced by means of different motivational techniques, without however, attaining ideal values.…”