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Effect of Orthodontic Treatment on the Periodontal Health of Periodontally Compromised Patients
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This randomized clinical trial assessed the effect of fixed orthodontic treatment on clinical and radiological parameters in periodontally compromised patients. After periodontal stabilization, there was a significant improvement in all clinical periodontal parameters in both the test (perio-ortho) and control (perio only) groups at all time points measured, with no significant differences between the groups. A subgroup analysis showed a nonsignificant reduction in the number of moderate and severe periodontitis sites, as indicated by the probing depth and clinical attachment level. Improvement in sites, indicated by alveolar bone levels (ABL), was significantly greater in the test group than in the control group.
- Orthodontic treatment did not negatively impact the periodontal health in periodontally compromised patients after periodontal stabilization. A greater improvement in ABL in the test group suggests that orthodontic treatment may enhance the benefits obtained with periodontal treatment alone.
abstract
This abstract is available on the publisher's site.
Access this abstract nowOBJECTIVES
To evaluate the effect of fixed orthodontic treatment on periodontal parameters in periodontally compromised adult orthodontic patients.
MATERIALS AND METHODS
This was a prospective, randomized, controlled clinical trial. Thirty-six periodontally compromised adult patients (mean age: 29.67 ± 4.8 years) were randomly allocated to either test (perio-ortho) or control group (perio). After periodontal stabilization in both groups, orthodontic treatment was started in the test group, whereas the control group remained on periodontal maintenance only. Evaluation and comparison of clinical parameters (plaque index [PI]; gingival index [GI]; bleeding on probing [BOP]; probing depth [PD]; clinical attachment level [CAL]) of both groups was assessed at three time intervals: T0 (base line), T1 (at start of orthodontic treatment), and T2 (1 year after start of orthodontic treatment). Radiological parameters (alveolar bone levels [ABL]) were recorded using CBCT at T1 and T2.
RESULTS
Intragroup analysis showed statistically significant improvement in all clinical and radiological periodontal parameters in both groups (P ≤ .05). Intergroup comparison revealed improvement in the periodontal parameters was not statistically significant between the groups (P ≥ .05). Subgroup analysis showed reduction in the number of moderate and severe periodontitis sites in both groups with significant more gains in ABL in the test group compared to the control group.
CONCLUSIONS
Orthodontic treatment after periodontal stabilization does not have any detrimental effect on periodontal health in adult periodontally compromised orthodontic patients and may add to the benefits achieved by periodontal treatment alone.
Additional Info
Effect of orthodontic treatment on periodontal health of periodontally compromised patients
Angle Orthod 2022 May 01;92(3)324-332, M Gehlot, R Sharma, S Tewari, D Kumar, A GuptaFrom MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.