Long-term changes in microbiology and clinical periodontal variables after completion of fixed orthodontic appliances

2013 ◽  
Vol 17 (1) ◽  
pp. 49-59 ◽  
Author(s):  
E. Ghijselings ◽  
W. Coucke ◽  
A. Verdonck ◽  
W. Teughels ◽  
M. Quirynen ◽  
...  
2018 ◽  
Vol 88 (5) ◽  
pp. 530-537
Author(s):  
E. Erin Bilbo ◽  
Steven D. Marshall ◽  
Karin A. Southard ◽  
Verrasathpurush Allareddy ◽  
Nathan Holton ◽  
...  

ABSTRACT Objectives: The long-term skeletal effects of Class II treatment in growing individuals using high-pull facebow headgear and fixed edgewise appliances have not been reported. The purpose of this study was to evaluate the long-term skeletal effects of treatment using high-pull headgear followed by fixed orthodontic appliances compared to an untreated control group. Materials and Methods: Changes in anteroposterior and vertical cephalometric measurements of 42 Class II subjects (n = 21, mean age = 10.7 years) before treatment, after headgear correction to Class I molar relationship, after treatment with fixed appliances, and after long-term retention (mean 4.1 years), were compared to similar changes in a matched control group (n = 21, mean age = 10.9 years) by multivariable linear regression models. Results: Compared to control, the study group displayed significant long-term horizontal restriction of A-point (SNA = −1.925°, P < .0001; FH-NA = −3.042°, P < .0001; linear measurement A-point to Vertical Reference = −3.859 mm, P < .0001) and reduction of the ANB angle (−1.767°, P < .0001), with no effect on mandibular horizontal growth or maxillary and mandibular vertical skeletal changes. A-point horizontal restriction and forward mandibular horizontal growth accompanied the study group correction to Class I molar, and these changes were stable long term. Conclusions: One phase treatment for Class II malocclusion with high-pull headgear followed by fixed orthodontic appliances resulted in correction to Class I molar through restriction of horizontal maxillary growth with continued horizontal mandibular growth and vertical skeletal changes unaffected. The anteroposterior molar correction and skeletal effects of this treatment were stable long term.


Author(s):  
I. Kovach ◽  
N. Gutarova ◽  
V. Alekseeva

The effect of PRP-therapy on the state of the vessels of the microvasculature was determined using invariable orthodontic appliances (FOAs). The experiments were carried out on 32 male rabbits of the Dutch breed aged 9 months, which were evenly distributed into four groups: control and experimental groups (I, II, III), 8 animals each. It has been established that treatment with FOAs leads to deterioration of the microcirculatory bed vessels, the development of ischemia and necrosis of the oral mucosa. The use of antibacterial drugs against the background of FOAs leads to a weakly pronounced effect, which develops quite late (on the 20th day in the studied group of rabbits). The most effective method of treatment is the use of PRP-therapy with a pronounced, strong and long-term effect from the very first days with a minimum of contraindications to the procedure. Keywords: microcirculatory bed, PRP-therapy, permanent orthodontic technique.


2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Mohamed I. Masoud ◽  
Reem Allarakia ◽  
Najlaa M. Alamoudi ◽  
Romesh Nalliah ◽  
Veerasathpurush Allareddy

2011 ◽  
Vol 22 (1) ◽  
pp. 79-82 ◽  
Author(s):  
Luciana Lira Meneghel ◽  
Linda Wang ◽  
Murilo Baena Lopes ◽  
Alcides Gonini Júnior

The presence of a dental contact point is essential to maintain normal occlusion and to preserve the health of periodontal structures. Occasionally dental caries could compromise the interproximal contact point, leading to migration of the adjacent teeth with consequent retention of food, gingival inflammation, pocket formation, bone loss and dental mobility. In order to achieve an adequate restorative treatment, reestablishment of interproximal space is necessary. This report describes the interproximal space recovery between the maxillary first and second molars of a 45-year-old female patient before tooth reconstruction. In this case, an orthodontic elastic separator was indicated as an alternative to fixed orthodontic appliances in order to recover the necessary space. The technique was proven efficient, effective, economical, easy to perform and, above all, less invasive than other methods. The interproximal space was regained and a ceramic onlay was cemented for restoring the maxillary second molar. Periodical clinical and radiographic follow-up should be maintained to ensure long-term success.


2019 ◽  
Vol 57 (6) ◽  
pp. 782-790
Author(s):  
Takuya Ogawa ◽  
Eric Shih-Wei Cheng ◽  
Keiko Muramoto ◽  
Keiji Moriyama

Klippel-Trenaunay syndrome (KTS) is a congenital disorder associated with capillary, venous, lymphatic vascular malformations, and unilateral hypertrophy of the soft tissue and bone. We report a case of a 5-year-old girl with KTS who was followed up until age 17. The asymmetry of her maxillary dentition became remarkable with growth, although no significant left-right difference in either the maxilla or mandible was recognized. Acceptable occlusion was achieved without fixed orthodontic appliances; however, it was necessary to develop treatment plans in accordance with the general symptoms of the disease.


2008 ◽  
Vol 78 (2) ◽  
pp. 370-380 ◽  
Author(s):  
Ayse T. Altug-Atac ◽  
Haluk Iseri

Abstract This case report presents the orthodontic treatment of a patient with Witkop syndrome, an autosomal dominant genetic disorder characterized by the absence of several teeth and abnormalities of the nails. The patient, a 6-year 4-month-old boy, was referred to our clinic for treatment of severe overjet and openbite. Radiographic and clinical evaluations showed peg-shaped maxillary lateral incisors and the congenital absence of three mandibular incisors as well as spoon-shaped fingernails. Treatment of openbite and overjet was initiated with functional appliances, and fixed orthodontic appliances were inserted at age 10 years 3 months. The edentulous spaces are being maintained for implants that will be provided once the patient's growth is complete. Evaluations of long-term treatment results to date have indicated improvements in both facial and dental esthetics.


Author(s):  
S. Yu Kosyuga ◽  
D. I Botova

During long-term orthodontic treatment there are various complications associated with a reduction in the level of hygiene. The article is devoted to the study of the hygienic condition of the oral cavity and the level of dental education in dynamics in patients undergoing orthodontic treatment. The examination and questioning of 40 patients aged from 18 to 35 years with fixed orthodontic appliances. In patients after 12 months of use braces deteriorating hygienic condition of the oral cavity. Care should be taken to inform patients about the care products and hygiene items, and their rational use, depending on the timing of orthodontic treatment and dental status.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ning Li ◽  
Wenfang Wang ◽  
Yuanyuan Sun ◽  
Hongning Wang ◽  
Tiejun Wang

Abstract Background Hereditary gingival fibromatosis (HGF) is rare in clinical practice, and the long-term results of the combined orthodontic-periodontal treatment of HGF are rarely reported. Case presentation This study reports for the first time the results of seven years of follow-up in a seven-year-old girl with HGF. The diagnosis was confirmed by clinical signs, family history and histopathological examination. First, periodontal scaling and oral hygiene reinforcement were performed regularly in the mixed dentition stage. Next, gingivoplasty was performed on the permanent dentition. Two months after the surgery, treatment with fixed orthodontic appliances was conducted. The teeth were polished on a monthly basis, and oral hygiene was reinforced to control gingival enlargement. Gingival hypertrophy recurred slightly, and gingivectomies were performed in the months following the start of orthodontic treatment. Follow-up was performed for 24 months with orthodontic retention, and gingival enlargement remained stable after the combined treatment. Conclusions The risk of gingival hyperplasia recurrence during and after orthodontic treatment is high, but satisfying long-term outcomes can be achieved with gingivectomy, malocclusion correction, and regular follow-up maintenance.


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