Gingival invagination in extraction sites of orthodontic patients: Their incidence, effects on periodontal health, and orthodontic treatment

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.

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Assessment of Periodontal Health in Nepalese Orthodontic Patients

Orthodontic Journal of Nepal ◽

10.3126/ojn.v3i1.9278 ◽

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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In adults: 47.2% have periodontitis! How about in orthodontic patients?

Dental Press Journal of Orthodontics ◽

10.1590/s2176-94512013000100003 ◽

2013 ◽

Vol 18 (1) ◽

pp. 3-5

Author(s):

Alberto Consolaro

Keyword(s):

Periodontal Disease ◽

Dental Plaque ◽

Orthodontic Treatment ◽

District Of Columbia ◽

Periodontal Health ◽

Great Insight ◽

Orthodontic Patients ◽

The U.S

The occurrence of chronic inflammatory periodontal disease due to dental plaque in adults over 30 years of age was noticed in 47.2% of the 3,742 subjects studied, representing a 64.7 million people population in the 50 states of the U.S. and the District of Columbia. The methods used by the authors were uniquely precise and the results brought us to great insight on the correlation between orthodontic treatment and periodontal health, which is described below.

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Effect of orthodontic treatment on periodontal health of periodontally compromised patients: A randomized controlled clinical trial

The Angle Orthodontist ◽

10.2319/022521-156.1 ◽

2021 ◽

Author(s):

Meenu Gehlot ◽

Rekha Sharma ◽

Shikha Tewari ◽

Davender Kumar ◽

Ambika Gupta

Keyword(s):

Clinical Trial ◽

Orthodontic Treatment ◽

Test Group ◽

Control Group ◽

Controlled Clinical Trial ◽

Randomized Controlled Clinical Trial ◽

Periodontal Health ◽

Randomized Controlled ◽

Intergroup Comparison ◽

Orthodontic Patients

ABSTRACT Objectives 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.

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Level of Knowledge, Understanding, and Impact of the COVID-19 Pandemic on Continuing Fixed Orthodontic Treatment in Adults: A Questionnaire Study

The Journal of Indian Orthodontic Society ◽

10.1177/0301574220988409 ◽

2021 ◽

Vol 55 (2) ◽

pp. 184-189

Author(s):

RSVM Raghu Ram ◽

I Ranganayakulu ◽

K Anand Viswanadh ◽

TSS Manikanta Kumar ◽

C Viswa Chaitanya ◽

...

Keyword(s):

Orthodontic Treatment ◽

Adult Patients ◽

Missed Appointments ◽

Clinical Area ◽

Cross Sectional ◽

Orthodontic Patients ◽

Level Of Knowledge ◽

Orthodontic Treatment In Adults ◽

Status Disclosure ◽

Descriptive Survey

Objectives: To evaluate the level of knowledge, understanding, and impact of the coronavirus disease 2019 (COVID-19) pandemic on adult patients regarding their ongoing fixed orthodontic treatment. Subjects and Methods: A cross-sectional and descriptive survey was conducted on 108 adult patients undergoing fixed orthodontic treatment at GSL Dental College (GSLDC), India. All the candidates were aged 18 years and above, who were in lockdown due to the COVID-19 pandemic and devoid of treatment. Results: Among the patients 43.5% were male and 56.5% were female; 22.3% were not at all aware that the COVID-19 virus spreads quickly in a dental setup; 64.8% were definitely willing for their status disclosure and to undergo pretreatment screening; 71.3% were definitely willing to adhere to strict appointment timings for adequate sanitization of the clinical area; 60.2% thought that missed appointments during the COVID-19 pandemic would prolong their overall orthodontic treatment and affect their treatment outcome; and 51.9% were financially affected due to the pandemic. Conclusions: Not all adult orthodontic patients were in knowledge of COVID-19 cross infection. The majority were in a state of understanding and willing to follow infection-eradicating protocols. Patients’ view on overall orthodontic treatment was altered due to the psychological and financial impact of COVID-19.

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The perception of COVID-19 among Italian dental patients: an orthodontic point of view

Progress in Orthodontics ◽

10.1186/s40510-021-00355-7 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Stefano Martina ◽

Alessandra Amato ◽

Paolo Faccioni ◽

Alfredo Iandolo ◽

Massimo Amato ◽

...

Keyword(s):

Orthodontic Treatment ◽

Point Of View ◽

Dental Practice ◽

Online Questionnaire ◽

Chi Square ◽

Dental Patients ◽

Patient Health ◽

Chi Square Test ◽

Orthodontic Patients ◽

Level Of Significance

Abstract Background The present study aimed to investigate the patients’ perception of the dental practice during the COVID-19 outbreak, and whether the pandemic will affect the attendance of orthodontic patients at the dental practice. An online questionnaire, including the Patient Health Questionnaire-4 (PHQ-4), was submitted to Italian dental patients with items about their perceived risks when going to the dentist, concerns about continuing orthodontic treatment, and the onset of temporomandibular disorders (TMD). Data were analyzed with a chi-square test and logistic regression analysis. The level of significance was set at P < 0.05. Results A total of 1566 subjects completed the survey, including 486 who were under orthodontic treatment or who had a child in orthodontic treatment. A total of 866 participants (55.3%) thought the risk of contracting the COVID-19 infection was higher in a dental practice; this perception was associated with gender (women more than man), age (over 60 years old) and high levels of distress (P<0.001). However, 894 patients (57.1%) felt comfortable going back to the dentist. Most of the orthodontic patients (84%) would continue their treatment. After the lockdown, there was a slight increase in the frequency of TMD pain (356 versus 334). Conclusions Most of the participants believed that the dental practice is a place at greater risk of contracting COVID-19, even if they continue to go to the dentist. Gender, age, and the level of distress were associated with the increase in the fear of going to the dentist due to COVID-19. Because of the pandemic, 16% of patients undergoing orthodontic treatment would not return to the dental practice to continue their orthodontic treatment after the lockdown. The prevalence of TMD pain in the population increased due to the pandemic.

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Management of chronic periodontitis: an interdisciplinary approach

International Journal of Dental Research ◽

10.14419/ijdr.v4i2.6773 ◽

2016 ◽

Vol 4 (2) ◽

pp. 65

Author(s):

Sneha Dani ◽

Savitha A.N ◽

Kenneth Tan ◽

Anand Naik ◽

Charan Chhatrala ◽

...

Keyword(s):

Public Interest ◽

Orthodontic Treatment ◽

Interdisciplinary Approach ◽

Primary Objective ◽

Periodontal Therapy ◽

The Other ◽

Periodontal Health ◽

Orthodontic Therapy ◽

Single Tooth ◽

Before And After

Objective: In recent years, advances in technique as well as a growing public interest in developing and maintaining a healthy and attractive smile, has resulted in a greater understanding of the interrelationships between periodontics and orthodontics. The primary objective of periodontal therapy is to restore and maintain the health and integrity of the attachment apparatus of teeth. In adults, the loss of teeth or periodontal support can result in pathological teeth migration involving either a single tooth or a group of teeth. This may result in the development of a diastema, incisal proclination, rotation with collapse of the posterior occlusion.Materials and methods: This case report is of a 32 year old female patient who reported with swollen gums, generalized spacing between the teeth and extruded upper anterior tooth. Periodontal therapy followed by fixed orthodontic therapy was planned.Results: At the end of 2 years a stable healthy periodontium was established that was both functional and esthetic.Conclusion: Adjunctive orthodontic therapy is often necessary for successful restoration of periodontal health. On the other hand, successful orthodontic treatment will depend on the periodontal preparation before and after treatment and the maintenance of periodontal health throughout all phases of mechano-therapy.

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