Periodontal health in teenagers treated with removable aligners and fixed orthodontic appliances

Abbate, Gian Marco; Carìa, Maria Paola; Montanari, Paola; Mannu, Carla; Orrù, Germano; Caprioglio, Alberto; Levrini, Luca

doi:10.1007/s00056-015-0285-5

Cited by 110 publications

(114 citation statements)

References 24 publications

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“…However, few studies have addressed changes in the microbiota and periodontal health in relation to clear aligner treatments. It has always been known that patients using clear aligners are less likely to suffer F I G U R E 2 Rarefaction curves for the salivary community before treatment and after 6-month Invisalign treatment [Colour figure can be viewed at wileyonlinelibrary.com] more serious periodontal diseases either in a short time or in the long term than patients with fixed appliances (Abbate, Caria, & Montanari, 2015;Lu, Tang, Zhou, & Kang, 2018;Rossini et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

The dynamics of the oral microbiome and oral health among patients receiving clear aligner orthodontic treatment

et al. 2020

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Objectives This 6‐month prospective clinical study assessed the impacts of Invisalign appliances on the oral bacterial community and oral health of patients. Methods Salivary samples were obtained from twenty‐five adult patients receiving Invisalign aligner treatment before the treatment (Group B) and at a 6‐month follow‐up (Group P). The bacterial composition of each sample was determined using Illumina MiSeq sequencing of the bacterial 16S rRNA. Intra‐ and intergroup biodiversity was analyzed. Clinical periodontal parameters and daily oral hygiene habits were recorded. Results Reduction in plaque, increased daily brushing frequency, and decreased dessert intake were observed in Group P compared with that in Group B. A total of 1,853,952 valid reads were obtained from the 50 salivary samples, with 37,904 sequences per sample. No significant differences were detected in the intra‐ and intergroup biodiversity comparisons between the two groups. By clustering, 8,885 OTUs were identified and categorized into six major phyla: Firmicutes, Proteobacteria, Bacteroidetes, Fusobacteria, Actinobacteria, and Candidate_division_TM7_norank. At the genus level, compared with Group B, Group P demonstrated significantly increased Bacillus abundance and decreased Prevotella abundance. Conclusions Our results suggested that the general biodiversity and salivary microbial community structure did not change significantly and that patients had increased beneficial oral hygiene habits and awareness during the first six months of Invisalign treatment. Hence, on the basis of this study, it appears that Invisalign aligner treatment did not induce deterioration of oral health nor significant biodiversity changes in oral bacterial communities, assuming that detailed oral hygiene instructions for both teeth and aligners were provided.

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Section: Discussionmentioning

confidence: 99%

The dynamics of the oral microbiome and oral health among patients receiving clear aligner orthodontic treatment

et al. 2020

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“…Moreover, Abbate et al [18] revealed the microbiological and periodontal changes that may occur during orthodontic treatment; comparing aligners and fixed appliances, they found that aligners were associated with greater compliance, better oral hygiene, less accumulation of plaque, and less gingival inflammation than fixed appliances. These findings are in line with those reported in a previous study by Mietheke et al [19], and in another that showed an increase in periodontopathic bacteria associated with a worsening of periodontal health in fixed multibracket orthodontics with respect to aligners [20].…”

Section: Discussionmentioning

confidence: 99%

Class II subdivision correction with clear aligners using intermaxilary elastics

et al. 2018

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BackgroundTo describe an esthetic orthodontic treatment using aligners in an adult patient with class II subdivision associated with crowding and dental crossbite. An 18-year-old hyperdivergent male patient with skeletal class II from mandibular retrusion presented for an orthodontic treatment. Occlusally, the patient presents class II subdivision, crossbite at tooth 4.4, an upper midline deviated towards the left with respect to the lower and facial midlines, and slight crowding in both arches. The patient refused conventional fixed multibracket treatment in favor of aligners. Pre- and post-treatment records as well as 1-year follow-up records are presented.FindingsTreatment objectives were achieved in 12 months, and the patient was satisfied with the functional and esthetic outcomes, which were stable at 1 year.ConclusionCombining aligners with appropriate auxiliaries is an efficacious means of resolving orthodontic issues such as class II, dental crossbite, and crowding in a time-frame comparable to that of conventional fixed orthodontics. Furthermore, this system is associated with optimal oral hygiene and excellent esthetics.

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“…It was noted that changes such as caries can appear after 4 weeks from the start of orthodontic treatment. 19,20 It has been shown that the presence of braces causes changes in the saliva and thus leads to disturbances in the oral environment. It was proven that patients with orthodontic appliances have higher concentrations of bacteria in the mouth, changes in the buffer capacity, pH, and the speed of saliva secretion.…”

Section: Local Complications Associated With the Use Of Bracesmentioning

confidence: 99%

“…On the other hand, it increases surface retention of plaque, which favors the growth of bacteria and the formation of gingivitis. 19,21 A study by Kasacka et al has shown significant changes in the morphology of epithelial cells of the oral mucosa of patients with braces. 22 These changes were even more marked in patients with braces and amalgam fillings.…”

Section: Local Complications Associated With the Use Of Bracesmentioning

confidence: 99%

Local and systemic disorders caused by the presence of foreign bodies in the oral cavity

Domian¹,

Kasacka²

2017

Dent. Med. Probl.

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The oral cavity is the first part of the digestive and respiratory systems; it fulfills important vital functions. Its normal function is dependent on many factors, both internal and external. The oral mucosa is constantly exposed to the influence of external factors. In addition, various foreign bodies are more often placed in the mouth, for both therapeutic treatment and decoration. For example: oral piercing, braces, dental implants, amalgam fillings. All of these factors can adversely affect the function of the mucosa as well as the whole organism. This paper is a review of recent literature and an analysis of the impact of selected foreign bodies on the oral cavity and the whole body, with particular attention paid to the risks associated with piercing. Studies clearly show that the presence of foreign bodies in the mouth contributes to the formation of many pathological conditions and diseases. They can be just local complications, but in some cases also general. Literature reports indicate that the presence of foreign bodies in the mouth can also lead to complications that have serious consequences to overall health. The presence of foreign bodies, particularly in the oral cavity can adversely affect its functioning and health of the entire system.

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Periodontal health in teenagers treated with removable aligners and fixed orthodontic appliances

Abstract: Teenagers treated with removable appliances display better compliance with oral hygiene, less plaque, and fewer gingival inflammatory reactions than their peers with fixed appliances.

Cited by 110 publications

References 24 publications

The dynamics of the oral microbiome and oral health among patients receiving clear aligner orthodontic treatment

The dynamics of the oral microbiome and oral health among patients receiving clear aligner orthodontic treatment

Class II subdivision correction with clear aligners using intermaxilary elastics

Local and systemic disorders caused by the presence of foreign bodies in the oral cavity

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