Uprighting Molars as an Adjunct to Restorative and Periodontal Treatment of Adults

1982 ◽  
Vol 9 (3) ◽  
pp. 122-128 ◽  
Author(s):  
J. F. Camilla Tulloch
Keyword(s):  
Orthodontic Treatment ◽  
Orthodontic Appliances ◽  
Prosthetic Design ◽  
Tissue Destruction ◽  
Periodontal Health ◽  
Posterior Teeth ◽  
Tooth Position ◽  
Plaque Control ◽  
Bacterial Plaque ◽  
Frequent Problem

The interrelationship between form, function and stomatologic health is unclear. However, tooth positions that prevent bacterial plaque removal may predispose towards periodontal disease. A frequent problem in adults is loss of posterior teeth with subsequent tip and drift of the molars. Occlusal trauma, if superimposed on gingival inflammation, can result in rapid tissue destruction. Therefore, an indication for orthodontic treatment is the restoration of normal axial inclination and tooth position so that bacterial plaque control may be effected. Simple orthodontic appliances may be used to restore the position of tipped molars. The benefits of orthodontic treatment, prior to the restoration of the posterior occlusion, are improvement in occlusal loading, improvement of periodontal health and simplification of prosthetic design and fabrication.

scholarly journals Clinical and Microbiological Evaluation of Stabilised Periodontal Patients Undergoing Early Stage of Orthodontic Treatment

2020 ◽  
Vol 15 (2) ◽  
pp. 96-107
Author(s):  
Asma Alhusna Abang Abdullah ◽  
Keyword(s):  
Orthodontic Treatment ◽  
Pathogenic Bacteria ◽  
Prospective Clinical Study ◽  
Orthodontic Appliances ◽  
Oral Microbiota ◽  
Periodontal Health ◽  
Fixed Orthodontic Appliances ◽  
Significant Difference ◽  
Group 2 ◽  
Group 1

Orthodontic treatment may affect the equilibrium of oral microbiota which plays a major role in aetiology of periodontal disease. This prospective clinical study aimed to assess the periodontal health and microbiological profile of healthy (Group 1) and stabilised periodontal (Group 2) patients throughout three months of orthodontic treatment. Upper and lower fixed orthodontic appliances were bonded. Periodontal health was assessed using plaque score (PS), bleeding on probing (BOP) and pocket depth (PD). 29 sites were taken for subgingival plaque sampling. Plaque samples were inoculated on Trypticase Soy Blood Agar (TSBA) and Trypticase Soy Bacitracin Vancomycin (TSBV) agar for assessment of aerobe, anaerobe, black pigmented bacteria (BPB) and Aggregatibacter actinomycetemcomitans. All the measurements were taken before bonding (T0), 1 week (T1), 1 month (T2) and 3 months post-bonding (T3). Generally, periodontal health in both groups were almost similar. After 1 week, the number of aerobes was significantly higher in Group 1 (88%) while the anaerobes were significantly higher in Group 2 (45%). A. actinomycetemcomitans was higher in Group 1 at T0 and T1 but was significantly higher in Group 2 at T3. BPB was minimal at all time with no significant difference. Thus, during the first 3-month of orthodontic treatment, there were significant changes in the number of aerobes-anaerobes in both healthy and stabilised periodontal patients. Pathogenic bacteria would increase during early treatment of orthodontics.

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.

Use of the PAR Index in Assessing the Effectiveness of Removable Orthodontic Appliances

1993 ◽  
Vol 20 (4) ◽  
pp. 351-357 ◽  
Author(s):  
W. J. S. Kerr ◽  
I. B. Buchanan ◽  
J. H. McColl
Keyword(s):  
Orthodontic Treatment ◽  
Mixed Dentition ◽  
Orthodontic Appliances ◽  
Tooth Position ◽  
Par Index ◽  
Before And After ◽  
Ectopic Tooth ◽  
Removable Appliance ◽  
Removable Appliances ◽  
Removable Orthodontic Appliances

The dental study casts of 150 consecutively completed removable appliance cases were examined before and after orthodontic treatment using the PAR index. Eighty-nine per cent were classified either as ‘improved’ or ‘greatly improved’. Of the 16 cases classified as ‘worse, no different’, six were mixed dentition cases with limited treatment objectives (which were successfully achieved) and three were permanent dentition cases where only one tooth was being aligned. Using predefined criteria removable appliances were shown to be most effective in treating cross-bites, ectopic tooth position, anterior spacing, and overjet, and less effective in treating crowding, rotations, and molar relationships.

scholarly journals Plaque control importance in orthodontic treatment

2017 ◽  
Vol 15 (1) ◽  
Author(s):  
Carlos Marín
Keyword(s):  
Oral Health ◽  
Dental Plaque ◽  
Orthodontic Treatment ◽  
Multidisciplinary Approach ◽  
New Technologies ◽  
Orthodontic Appliances ◽  
Immunological Responses ◽  
Fixed Appliances ◽  
Plaque Control ◽  
Plaque Inflammation

Summary: The growing success oforthodontic treatments in people of all ages have had a necessary reconsideration in oral healthactions and preventive education in patients who are using these appliances. Clinical evidencesrelate the use of fixed orthodontics with a clearly elevation in dental plaque amounts, followingwith a cascade of inflammatory and immunological responses involving all periodontal tissues.Implementation of new technologies in orthodontic appliances and oral health is an important topicthat must be included in the multidisciplinary approach of actual treatments. .Key words:Orthodontics. Fixed appliances. Dental plaque. Inflammation. Oral hygiene.

scholarly journals Clinical evaluation of periodontal health during orthodontic treatment with fixed appliances

2014 ◽  
Vol 60 (6) ◽  
pp. 265-268
Author(s):  
T. Hănțoiu ◽  
Adriana Monea ◽  
Luminița Lazăr ◽  
Liana Hănțoiu
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Study Groups ◽  
T Test ◽  
Orthodontic Appliances ◽  
Periodontal Health ◽  
Fixed Orthodontic Appliances ◽  
Fixed Appliances ◽  
Group B ◽  
Interdental Brush

Abstract Objectives: Fixed orthodontic appliances make daily application of oral hygiene standard procedures more difficult and in time may lead to accumulation of oral biofilms and development of gingivitis and hyperplasia. The aim of the study is to evaluate the periodontal health expressed by clinical indices in patients under orthodontic treatment with fixed appliances, according to different oral hygene maintenance programs. Material and method: We performed a randomized prospective study on 60 patients with fixed orthodontic appliances (17-25 years of age) devided in three study groups. The clnical indices recorded were: modified gingival index, plaque index and sulcular bleeding index. Statistical analysis or the results were carried out using Student t test. Results: The patients were randomly divided into three groups: group A-patients were instructed to use electric brush, water flosser and interdental brush, group B- electric brush, interdental brush and fluoride and group C- manual brushing and fluoride. Statistical comparison of the values of the indexes with the Student t test for independent samples showed statistically significant differences in all three groups of patients studied between initial and final values of all recorded clinical parameters. Conclusions: Fixed orthodontics do not induce periodontal disease if basic principles of oral hygiene are followed in compliant patients, which are correctly instructed to deal with real challenge, represented by complete elimination of debris and bacterial accumulation.

scholarly journals Nexus between COVID-19 and periodontal disease

2021 ◽  
Vol 49 (3) ◽  
pp. 030006052110026
Author(s):  
Kanchana Sukumar ◽  
Anupama Tadepalli
Keyword(s):  
Periodontal Disease ◽  
Host Cells ◽  
Multifactorial Disease ◽  
Tissue Destruction ◽  
The Past ◽  
Appropriate Care ◽  
Bacterial Stimulation ◽  
Plaque Control ◽  
Disease Understanding ◽  
Pro Inflammatory Cytokines

Over the past several decades, studies have demonstrated the existence of bi-directional relationships between periodontal disease and systemic conditions. Periodontitis is a polymicrobial and multifactorial disease involving both host and environmental factors. Tissue destruction is primarily associated with hyperresponsiveness of the host resulting in release of inflammatory mediators. Pro-inflammatory cytokines play a major role in bacterial stimulation and tissue destruction. In addition, these cytokines are thought to underlie the associations between periodontitis and systemic conditions. Current research suggests that increased release of cytokines from host cells, referred to as the cytokine storm, is associated with disease progression in patients with coronavirus disease 2019 (COVID-19). An intersection between periodontitis and pulmonary disease is biologically plausible. Hence, we reviewed the evidence linking COVID-19, cytokines, and periodontal disease. Plaque control is essential to prevent exchange of bacteria between the mouth and the lungs, reducing the risk of lung disease. Understanding these associations may help identify individuals at high risk and deliver appropriate care at early stages.

scholarly journals Nanomaterials Application in Orthodontics

Nanomaterials ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 337
Author(s):  
Wojciech Zakrzewski ◽  
Maciej Dobrzynski ◽  
Wojciech Dobrzynski ◽  
Anna Zawadzka-Knefel ◽  
Mateusz Janecki ◽  
...  
Keyword(s):  
Friction Force ◽  
Material Properties ◽  
Orthodontic Treatment ◽  
Mechanical Characteristics ◽  
Current Knowledge ◽  
Scientific Work ◽  
Orthodontic Appliances ◽  
Orthodontic Movement ◽  
Enamel Demineralization

Nanotechnology has gained importance in recent years due to its ability to enhance material properties, including antimicrobial characteristics. Nanotechnology is applicable in various aspects of orthodontics. This scientific work focuses on the concept of nanotechnology and its applications in the field of orthodontics, including, among others, enhancement of antimicrobial characteristics of orthodontic resins, leading to reduction of enamel demineralization or control of friction force during orthodontic movement. The latter one enables effective orthodontic treatment while using less force. Emphasis is put on antimicrobial and mechanical characteristics of nanomaterials during orthodontic treatment. The manuscript sums up the current knowledge about nanomaterials’ influence on orthodontic appliances.

scholarly journals Management of chronic periodontitis: an interdisciplinary approach

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.

scholarly journals Periodontal health and relative quantity of subgingival Porphyromonas gingivalis during orthodontic treatment

2011 ◽  
Vol 81 (4) ◽  
pp. 609-615 ◽  
Author(s):  
Hongyan Liu ◽  
Jinglu Sun ◽  
Yilei Dong ◽  
Hui Lu ◽  
Humin Zhou ◽  
...  
Keyword(s):  
Porphyromonas Gingivalis ◽  
Orthodontic Treatment ◽  
Periodontal Health

Long-Term Effect of Thin Interdental Alveolar Bone on Periodontal Health after Orthodontic Treatment

1986 ◽  
Vol 57 (6) ◽  
pp. 341-346 ◽  
Author(s):  
Jon Årtun ◽  
Stig K. Osterberg ◽  
Vincent G. Kokich
Keyword(s):  
Orthodontic Treatment ◽  
Alveolar Bone ◽  
Term Effect ◽  
Periodontal Health ◽  
Long Term Effect
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