Periodontal health and relative quantity of subgingival Porphyromonas gingivalis during orthodontic treatment (original) (raw)
Related papers
2021
AIM: To assess the prevalence of periodontal pathogens in patients with fixed and removable orthodontic appliance. INTRODUCTION: Fixed and removable orthodontic appliances may complicate an optimal oral hygiene, and this may result in accumulation of dental plaque and gingival inflammation. Evidence indicates the gram-negative obligate anaerobe Porphyromonas gingivalis and A.actinomycetecomitans as putative periodontal pathogens in subgingival dental plaque. P. gingivalis plays an important role in the onset and progression of periodontal diseases, and it is implicated as an indicator of periodontal disease. The aim of this study was to evaluate the occurrence of periodontal pathogens in patients with clinical manifestation of plaque-associated gingivitis treated with fixed and removable orthodontic appliances. MATERIALS AND METHODS: The study was done using convenience sampling of 10 patients undergoing orthodontic treatment from the Orthodontics Department of Saveetha Dental Colle...
Assessment of Gingival Health Status among Patients with Fixed Orthodontic Appliance
Polytechnic Journal
Fixed orthodontic appliances corrupt plaque removal, proper oral hygiene, and gingival health so periodontal evaluation is important to be checked in every appointment. The aim of the present study was to assess gingival health among patients with a fixed orthodontic appliance. A clinical comparative study conducted on 25 patients with an aged ranged from 15 to 25 years. Clinical parameters included plaque index (PI), gingival index (GI), and bleeding on probing (BOP) were recorded at base line before starting orthodontic treatment and after 1 month of treatment. A double paired t-test was applied to the data collected for statistical analysis. The mean value of PI (1.11), GI (1.155), and BOP (0.600) scores was increased after placement of fixed orthodontic appliance, but with no statistically significant difference with base line for PI (P-value = 0.596), GI (P-value = 0.355), and BOP (P-value = 0.256), respectively. Regarding age group, mean PI (1.46), GI (1.22), and BOP (0.875) w...
Changes in subgingival microflora after placement and removal of fixed orthodontic appliances
Srpski arhiv za celokupno lekarstvo, 2014
Introduction. The placement of fixed orthodontic appliances may lead to increased plaque accumulation and changes in subgingival microflora. Objective. The aim of this study was to examine the changes in frequency of subgingival microflora that occur after placement and removal of fixed orthodontic appliance using polymerase chain reaction (PCR). Methods. This study included 33 orthodontic patients, who were divided into two groups. Subgingival plaque samples were collected from the right upper incisor (U1) and right upper first molar (U6). In group A, the samples were taken three times: before placement appliance (T1), after one month (T2), and after 3 months (T3). In group B the samples were also taken three times: before appliance removal (T1), after one month (T2), and after three months (T3). PCR method was used to determine the presence of P. gingivalis, A. actinomycetemcomitans, T. forsythia, and P. intermedia. Results. In group A the frequency of P. gingivalis showed statist...
GINGIVAL HEALTH IN PATIENTS WITH FIXED ORTHODONTIC APPLIANCES
Stomatolos̆ki vjesnik. Stomatological review
The aim of the study was to evaluate the gingival health status in 30 patients treated with fixed orthodontic appliances, selected from Orthodontic Clinic at University Dental Clinic Center in Skopje. The patients were 16 years of age. IDP, IGI and GBI indexes were performed before and six months after fixed orthodontic treatment. The patients were not educated in maintaining oral hygiene. Data was statistically analyzed using SPSS version 6. The results showed that the condition of periodontium during orthodontic treatment is determinated by the level of oral hygiene. Orthodontic patients don't have enough information regarding the maintainance of appropriate oral hygiene. Instructions to patients are considered as an important factor for gingival health.
Journal of Health and Dental Sciences, 2022
Comprehensive care of a patient from multidisciplinary periodontics and orthodontic is found in gingivitis cases with patients that use fixed orthodontics appliances. Periodontal pathogenic bacteria were initiated to dental plaque formation, followed by predisposing factors such as fixed orthodontic appliance, orthodontic movement, and bad oral hygiene. This case report describes a female patient (23 years old) who needs treatment at the anterior mandibular region. Clinical examination explained crowding anterior 32, 31, 41, 42 and applied bracket on each tooth. Pocket depth on the facial side was average 6-5 mm, accompanied by bleeding on probing. Periodontal approach for gingivitis used gingivectomy and gingivoplasty with blade number 15c to eliminate gingival pocket on crowding teeth at anterior mandibular region. Evaluation results in one week and one month after surgery showed healthy gingiva with an average probing depth of 3mm. Gingivectomy is a periodontal approach for gingi...
The European Journal of Orthodontics, 2010
The aim of this longitudinal study was to monitor patients' microbiological and clinical parameters from bracket placement up to 3 months post-treatment. Twenty-four patients (10 males and 14 females, aged 14.6 ± 1.0 years) were included in this investigation. Microbiology (sub-and supragingival), periodontal probing depth (PPD), bleeding on probing (BOP), and gingival crevicular fluid (GCF) flow were assessed at baseline (T1), at bracket removal (T2), and 3 months post-treatment (T3). A statistical comparison was made over time and between the banded, bonded, and control sites. Repeated measurements on patients were taken into account by modelling the patients as a random factor. Except for PPD and BOP, values were log-transformed before analysis. Corrections for simultaneous hypothesis testing were performed via simulation. The results demonstrated that sub-and supragingival colony-forming units ratio (CFU ratio aerobe/ anaerobe) decreased significantly (relatively more anaerobes) at T2 compared with T1. Between T2 and T3 no significant increase in CFU ratio was seen, resulting in a significantly lower CFU ratio at T3 compared with T1 for subgingival plaque. The difference concerning supragingival plaque between T3 and T1 was not significant. Clinical parameters PPD, POB, and GCF flow showed a significant increase between T1 and T2. Between T2 and T3 these variables decreased significantly but remained significantly higher than at T1 [except for BOP values at the bonded sites (P = 0.0646)]. Placement of fixed orthodontic appliances has an influence both on microbial and clinical periodontal parameters, which were only partly normalized, 3 months following the removal of the appliances.
Possibilities to prevent gingivitis during fixed orthodontic appliance therapy
Stomatoloski Glasnik Srbije, 2008
Uvod: Pacijenti u toku terapije fiksnim ortodontskim aparatima su pod pove anim rizikom za nastanak oboljenja gingive, parodoncijuma i za nastanak karijesa. Da bi se tokom terapije fiksnim ortodontskim aparatima o uvalo zdravlje gingive pacijente treba informisati o važnosti svakodnevnog održavanja oralne higijene i obu iti pacijente kako da koriste sva dostupna sredstva za održavanje oralne higijene. Cilj rada: Cilj rada je da prikaže faktore koji uti u na nastanak gingivitisa tokom tretmana fiksnim ortodontskim aparatima, kao i metode i sredstva koje se koriste za spre avanje nastanka ovog rasprostranjenog oboljenja. Zaklju ak: Uspostavljanje navike pravilnog održavanja oralne higijene je velike koristi ne samo za o uvanje zdravlja gingive ve i za uspešnost celokupnog ortodontskog tretmana i o uvanje postignutih rezultata terapije. Osim o uvanja zdravlja gingive, navika održavanja oralne higijene ostaje za ceo život. Klju ne re i: gingivitis, fiksni ortodontski aparati, oralna higijena SUMMARY Introduction: During orthodontic treatment, the risk of gingivitis, periodontal disease and dental caries is increased. For good gingival health during orthodontic therapy, patients must be educated about the importance of daily oral hygiene and also given instructions on plaquecontrol techniques and how to use plaque removal devices properly. Objectives: The aim of this study was to present risk factors for gingivitis during treatment with fixed orthodontic appliances as well as methods and resources for prevention of this widespread disease. Conclusion: Maintaining proper oral hygiene is of great benefit not only for gingival health but also for the success of orthodontic treatment and maintenance of treatment results. Beside healthy gingiva, favourable habits in oral hygiene remain life-long.
Changes in clinical periodontal parameters after removal of fixed orthodontic appliances
Archives of Dental Research
The placement of orthodontic appliances influences plaque growth and maturation. Significant differences in biofilm formation and periodontal reaction between different bracket types and between bonded teeth compared with control teeth have been reported, however, have reported significant attachment loss during orthodontic treatment.In patients with a history of periodontitis resulting in displaced teeth, possible orthodontic tooth movements include changes in alignment, space redistribution, and intrusion.To see the changes in clinical periodontal parameters after removal of fixed orthodontic appliancesAfter debonding of braket at dental clinic and before final polishing, probing depth (PD), plaque index (PI), gingival index (GI) and bleeding on probing (BOP) were assessed on the first molars and central incisors of both arches.Probing depth decreased in the right maxillary first molar. Plaque index and gingival index also got deceased. Bleeding on Probing reduced significantly.Bu...
Recovery of Clinical Periodontal Parameters After Orthodontic Appliance Removal: A Prospective Study
Iranian Journal of Orthodontics, 2019
Objectives: Considering the changes in periodontal parameters after orthodontic treatment and lack of adequate evidence on the return of these parameters to normal, the aim of this study was to evaluate the time needed for recovery of periodontal parameters to normal after debonding. Methods: In this prospective study, 24 patients (21 females and 3 males) with a mean age of 18.86 ± 4.64 years were included, who were in the final stage of their orthodontic treatment and ready for debonding of orthodontic brackets. The most important inclusion criteria were: No history of periodontal problems, no extensive restorations and caries, no smoking, no systemic disorders and no calculus. In each session, the patients were given oral health instructions and then probing depth (PD), plaque index (PI), gingival index (GI) and bleeding on probing (BOP) of the first molars and central incisors of each quadrant were evaluated at the time of debonding (T1), and one (T2), two (T3) and three (T4) months later; in patients who did not return to normal status (GI ≤ 0.5, negative BOP, PD ≤ 3 mm) after 3 months, the measurements were repeated in subsequent months (up to 6 months). ANOVA followed by pairwise Tukey comparisons were used for determining differences in PD, GI, BOP and PI between the time intervals. Results: In general, all the parameters were decreased from T1 to T4. Furthermore, comparisons between different intervals using post hoc Tukey test showed that decreases in PD of the buccal surface and proximal surface in comparison to debonding time were significant during the first and second months, respectively (P < 0.05). Interpretation of statistical data showed a significant reduction in GI after two months. BOP became negative and significantly different after one month in half of the teeth and two months in the other teeth. PI generally decreased from T1 to T4. Conclusions: Based on the results of this study, periodontal parameters returned to normal one to two months after debonding.
IP International Journal of Maxillofacial Imaging
Background: Fixed orthodontic components used in orthodontic treatment often act as a nidus for the retention of plaque and biofilm thereby resulting in Plaque associated gingivitis. This is because of the classic interplay of the host and the microbial ecosystem around the components. The common gingival changes in color, contour, texture, shape & size should alarm the patient and concerned orthodontist to prevent its further progression. The orthodontist and the patient should be made aware of the undesirable complications associated with the gingival response to the treatment. Materials and Methods: This Questionnaire study was performed to assess the common gingival problems faced by the patients undergoing fixed orthodontic therapy. Results: Our study revealed that the majority of patients of both groups were cautious in maintaining good oral hygiene. A small group of patients of both groups of treatment complained of food lodgment and also experienced pain, sometimes itchy and swollen gums with bleeding from the gums. Conclusion: Oral health lies majorly in the hands of the patient by ensuring correct, efficient and meticulous oral hygiene practices. Every orthodontic patient should be motivated and educated with regards to the changes that occur in the gingiva with respect to the orthodontic treatment and good oral hygiene practices.