Self-ligating Brackets May Not Have Clinical Advantages Over Conventional Brackets for the Periodontal Health of Adolescent Orthodontic Patients

2017 ◽  
Vol 17 (2) ◽  
pp. 102-104
Author(s):  
Kyungsup Shin
Keyword(s):  
Periodontal Health ◽  
Conventional Brackets ◽  
Orthodontic Patients

scholarly journals Treatment time, outcome, and anchorage loss comparisons of self-ligating and conventional brackets

2012 ◽  
Vol 83 (2) ◽  
pp. 280-285 ◽  
Author(s):  
Ferdinand M. Machibya ◽  
Xingfu Bao ◽  
Lihua Zhao ◽  
Min Hu
Keyword(s):  
Treatment Time ◽  
Peer Assessment ◽  
Steel Wire ◽  
Skeletal Changes ◽  
Lateral Cephalograms ◽  
Significant Difference ◽  
Conventional Brackets ◽  
Orthodontic Patients ◽  
Anchorage Loss ◽  
Mandibular Incisors

ABSTRACT Objective: To compare the treatment time, outcome, and anchorage loss among orthodontic patients treated by self-ligating brackets (SLBs) and conventional brackets (CBs). Materials and Methods: A retrospective cohort study compared 34 patients (SLB group) treated by SmartClip brackets (3M Unitek, Monrovia, Calif) to 35 patients (CB group) treated by conventional preadjusted Victory series brackets (3M Unitek) and ligated by stainless steel wire ligatures. Pretreatment (T1) and posttreatment (T2) lateral cephalograms were traced and analyzed using Pancherz sagittal-occlusion analysis to obtain skeletal and dental changes in the maxilla and the mandible. The dental cast models were assessed by the Peer Assessment Rating (PAR) Index for the treatment outcomes. Results: The mean treatment time for SLBs (19.19 months) did not show a statistically significant difference from 21.25 months of CBs; the treatment time and pretreatment PAR scores were strongly correlated. There was no difference in anchorage loss between the SLB and CB groups. There were significant dental and skeletal changes among adolescent orthodontic patients regardless of the bracket used. The lingual inclination of the mandibular incisors in the CB group was 3.62° more than in the SLB group (P < .01). Conclusions: The treatment time and anchorage loss are not influenced by the type of bracket used. There are significant dental and skeletal changes among adolescent orthodontic patients regardless of the bracket used. There is significantly greater lingual inclination of mandibular incisors in the CB group than in the SLB group.

scholarly journals Assessment of the effect of vacuum-formed retainers and Hawley retainers on periodontal health: A systematic review and meta-analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0253968
Author(s):  
Bowen Li ◽  
Yifeng Xu ◽  
Cailian Lu ◽  
Zhenheng Wei ◽  
Yongyue Li ◽  
...  
Keyword(s):  
Meta Analysis ◽  
Grey Literature ◽  
Mean Difference ◽  
Cochrane Library ◽  
Periodontal Health ◽  
Probing Depth ◽  
Significant Difference ◽  
Orthodontic Patients ◽  
The Cochrane Library ◽  
Sulcus Probing Depth

Background Recently, increasing attention has been paid to the periodontal health of orthodontic patients in the maintenance stage in clinical practice. The focus of this meta-analysis was to compare the effects of vacuum-formed retainers (VFR) and Hawley retainers (HR) on periodontal health, in order to provide a reference for clinical selection. Methods From the establishment of the database until November 2020, a large number of databases were searched to find relevant randomized control trials, including the Cochrane Library databases, Embase, PubMed, Medline via Ovi, Web of Science, Scopus, Grey Literature in Europe, Google Scholar and CNKI. Related literature was manually searched and included in the analysis. Two researchers screened the literature according to relevant criteria. The size of the effect was determined using RevMan5.3 software, and the mean difference and 95% confidence intervals (CI) were used to estimate the results using a random effects model. Results This meta-analysis included six randomized controlled trials involving 304 patients. The results of the meta-analysis showed that there was no statistical difference in sulcus probing depth status between the VFR group and the HR group, including at 1, 3, and 6 months. Compared with the VFR group, the HR group showed a lower gingival index at 1 month (mean difference = 0.12, 95%CI: 0.06 to 0.19) and 3 months (mean difference = 0.11, 95%CI: 0.06 to 0.17), while there was no statistically significant difference at 6 months (mean difference = 0.10, 95%CI: -0.07 to 0.27). The plaque index of the HR group also showed a good state at 1 month (mean difference = 0.06, 95%CI: 0.01 to 0.12), 3 months (mean difference = 0.12, 95%CI: 0.08 to 0.16), and 6 months (mean difference = 0.19, 95%CI: 0.09 to 0.29). Subgroup analysis of PLI showed that when all teeth were measured, PLI status was lower in the HR group at 6 months (mean difference = 0.32, 95%CI: 0.18 to 0.46). PLI status was also low for the other teeth group (mean difference = 0.15, 95%CI: 0.08 to 0.22). Conclusion Our meta-analysis showed that patients using the Hawley retainer had better periodontal health compared with those using vacuum-formed retainers. However, more research is needed to look at the periodontal health of patients using these two retainers.

scholarly journals Effects of adhesive flash-free brackets on enamel demineralization and periodontal status

2020 ◽  
Vol 90 (3) ◽  
pp. 339-346
Author(s):  
Ayten Tan ◽  
Serpil Çokakoğlu
Keyword(s):  
Class Ii Malocclusion ◽  
Gingival Index ◽  
Periodontal Health ◽  
Periodontal Status ◽  
Time Points ◽  
Enamel Demineralization ◽  
Intergroup Comparison ◽  
Conventional Brackets ◽  
Ceramic Brackets ◽  
T1 And T2

ABSTRACT Objectives To evaluate the effects of adhesive precoated (APC) flash-free brackets on enamel demineralization and periodontal status in patients during fixed orthodontic treatment. Materials and Methods Thirty patients, age 12 to 18 years, who had Angle Class I or Class II malocclusion with mild to moderate crowding in the permanent dentition were selected for this study. APC flash-free and conventional ceramic brackets were bonded for a split-mouth study design. The quadrant allocation was randomized. Demineralization records were obtained immediately after bonding (T0), 1 month after bonding (T1), and 6 months after bonding (T2). Clinical periodontal measurements, including gingival index, plaque index, and bleeding upon probing, were obtained before bonding (T0) and at the same time points (T1 and T2). Data were analyzed using Mann-Whitney U and Friedman tests to compare parameters between groups and times. Results Demineralization values decreased on most sides of the brackets for both groups between T0 and T1. In the conventional group, there was significantly higher demineralization on more sides compared with flash-free brackets between T1 and T2. With one exception, the decreased values were found in the incisal/occlusal sides of all brackets at T2. All periodontal parameters showed significant increases after 6 months of treatment in both groups. Intergroup comparison showed no significant differences in demineralization or periodontal measurements at any of the time points. Conclusions The effects of APC flash-free and conventional brackets on enamel demineralization and periodontal health did not differ from each other.

scholarly journals Periodontal health knowledge and awareness among subjects with fixed orthodontic appliance

2018 ◽  
Vol 23 (5) ◽  
pp. 40.e1-40.e9 ◽  
Author(s):  
Elham S. Abu Alhaija ◽  
Eman M. Al-Saif ◽  
Dafi Q. Taani
Keyword(s):  
Orthodontic Treatment ◽  
Health Knowledge ◽  
Negative Attitude ◽  
Gingival Recession ◽  
Orthodontic Appliances ◽  
Duration Of Treatment ◽  
Periodontal Health ◽  
Fixed Orthodontic Appliances ◽  
Orthodontic Patients ◽  
High Level

Abstract Objective: To report on periodontal health knowledge and awareness among orthodontic patients and to investigate the effect of age, attitude and duration of orthodontic treatment on periodontal health awareness among orthodontic patients. Methods: A total of 297 orthodontics patient (90 males, 207 females) with mean age of 17.7 ± 5.0 years (older then 18 years = 119, 18 years or younger = 178) were included in this study. Subjects were currently wearing upper and lower fixed orthodontic appliances for an mean period of 12.55 ± 10.86 months (less than or equal to 18 months = 231, more than 18 months = 66). Data was collected through a self-administered questionnaire (demographic characteristics, subjects’ awareness toward their periodontal health, periodontal knowledge among orthodontic patient and patients’ attitude toward orthodontic treatment regarding periodontal health) and clinical periodontal examination. Results: Periodontal knowledge was poor among orthodontic patients in relation to dental plaque. Only 24 subjects (8%) correctly answered knowledge-related questions. Adult orthodontic patients reported negative attitude toward fixed orthodontic treatment in respect to periodontal health (p<0.001). Duration of orthodontic treatment negatively affected subjects’ attitude toward fixed orthodontic treatment (p<0.01). The majority of subjects were in the high level of awareness group (64%). Orthodontic patients’ awareness toward their periodontal health during fixed orthodontic treatment was affected by attitude scores (p=0.005), number of teeth with gingival recession (p=0.041), Gingival Index (p=0.000), duration of treatment (p=0.047) and age (p=0.008). Conclusions: Periodontal health knowledge among orthodontic patients was poor. Orthodontic patients’ awareness of their periodontal health was moderate and was affected by age, attitude and duration of orthodontic treatment.

scholarly journals Effects of self-ligating and conventional brackets on halitosis and periodontal conditions

2014 ◽  
Vol 85 (3) ◽  
pp. 468-473 ◽  
Author(s):  
Emine Kaygisiz ◽  
Fatma Deniz Uzuner ◽  
Sema Yuksel ◽  
Levent Taner ◽  
Rana Çulhaoğlu ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Control Group ◽  
Periodontal Health ◽  
Pocket Depth ◽  
Significant Group ◽  
Mouth Rinses ◽  
Conventional Brackets ◽  
Group 3 ◽  
Group 2 ◽  
Control Group Group

ABSTRACTObjective: To evaluate the effects of fixed orthodontic treatment with steel-ligated conventional brackets and self-ligating brackets on halitosis and periodontal health.Materials and Methods: Sixty patients, at the permanent dentition stage aged 12 to 18 years, who had Angle Class I malocclusion with mild-to-moderate crowding were randomly selected. Inclusion criteria were nonsmokers, without systematic disease, and no use of antibiotics and oral mouth rinses during the 2-month period before the study. The patients were subdivided into three groups randomly: the group treated with conventional brackets (group 1, n  =  20) ligated with steel ligature wires, the group treated with self-ligating brackets (group 2, n  =  20), and the control group (group 3, n  =  20). The periodontal records were obtained 1 week before bonding (T1), immediately before bonding (T2), 1 week after bonding (T3), 4 weeks after bonding (T4), and 8 weeks after bonding (T5). Measurements of the control group were repeated within the same periods. The volatile sulfur components determining halitosis were measured with the Halimeter at T2, T3, T4, and T5. A two-way repeated measures of analysis of variance (ANOVA) was used to compare the groups statistically.Results: No statistically significant group × time interactions were found for plaque index, gingival index, pocket depth, bleeding on probing, and halitosis, which means three independent groups change like each other by time. The risk of tongue coating index (TCI) being 2 was 10.2 times higher at T1 than at T5 (P &lt; .001). Therefore, the probability of higher TCI was decreased by time in all groups.Conclusions: The self-ligating brackets do not have an advantage over conventional brackets with respect to periodontal status and halitosis.

scholarly journals Assessment of Periodontal Health in Orthodontic Patients in Sharavati Dental College and Hospital Shivamogga, Karnataka

2020 ◽  
Vol 5 (6) ◽  
pp. 266-270
Author(s):  
Chethana K. C ◽  
Shrinidhi M. S ◽  
Arun Kumar G ◽  
Shanthiprasad Indra ◽  
Shwetha E
Keyword(s):  
Periodontal Health ◽  
Orthodontic Patients

scholarly journals Assessment of Periodontal Health in Nepalese Orthodontic Patients

2013 ◽  
Vol 3 (1) ◽  
pp. 26-30
Author(s):  
Bhageshwar Dhami ◽  
Priti Shreshta ◽  
Rabindra M Shrestha ◽  
Jyoti Dhakal
Keyword(s):  
Orthodontic Treatment ◽  
Cross Sectional Study ◽  
Periodontal Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Probing Depth ◽  
Periodontal Index ◽  
Community Periodontal Index ◽  
Chi Square Test ◽  
Orthodontic Patients

Objective: To assess periodontal status of the patients undergoing orthodontic treatment and to compare periodontal health of patients with and without orthodontic treatment. Materials & Method: A cross sectional study was done on 100 patients (50 orthodontic and 50 non-orthodontic). CPITN (Community Periodontal Index for Treatment Need) was used to assess the periodontal health of indexed teeth. SPSS version 17 and Chi Square test were used to analyze and compare the data. Result: There was a statistically significant association in CPITN score between orthodontic and non-orthodontic patients (p<0.01). Conclusion: Patients undergoing orthodontic treatment have increased plaque accumulation and probing depth that may be associated with periodontal destruction. Patient motivation to maintain oral hygiene and regular scaling will minimize hazardous effects in orthodontic patients. DOI: http://dx.doi.org/10.3126/ojn.v3i1.9278 Orthodontic Journal of Nepal, Vol.3, No.1, 2013: 26-30

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