scholarly journals Interproximal space recovery using an orthodontic elastic separator before prosthetic restoration: a case report

2011 ◽  
Vol 22 (1) ◽  
pp. 79-82 ◽  
Author(s):  
Luciana Lira Meneghel ◽  
Linda Wang ◽  
Murilo Baena Lopes ◽  
Alcides Gonini Júnior
Keyword(s):  
Contact Point ◽  
Orthodontic Appliances ◽  
Gingival Inflammation ◽  
Second Molar ◽  
Restorative Treatment ◽  
Normal Occlusion ◽  
Fixed Orthodontic Appliances ◽  
Pocket Formation

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.

scholarly journals Seven-year follow-up of a patient with hereditary gingival fibromatosis treated with a multidisciplinary approach: case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ning Li ◽  
Wenfang Wang ◽  
Yuanyuan Sun ◽  
Hongning Wang ◽  
Tiejun Wang
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Long Term Results ◽  
Orthodontic Appliances ◽  
Gingival Hyperplasia ◽  
Fixed Orthodontic Appliances ◽  
Gingival Enlargement ◽  
Gingival Fibromatosis

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.

scholarly journals Long-term skeletal effects of high-pull headgear followed by fixed appliances for the treatment of Class II malocclusions

2018 ◽  
Vol 88 (5) ◽  
pp. 530-537
Author(s):  
E. Erin Bilbo ◽  
Steven D. Marshall ◽  
Karin A. Southard ◽  
Verrasathpurush Allareddy ◽  
Nathan Holton ◽  
...  
Keyword(s):  
Class Ii ◽  
Class I ◽  
Control Group ◽  
Orthodontic Appliances ◽  
Skeletal Changes ◽  
Fixed Orthodontic Appliances ◽  
Horizontal Growth ◽  
Skeletal Effects ◽  
Fixed Appliances

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.

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 ◽  
...  
Keyword(s):  
Orthodontic Appliances ◽  
Fixed Orthodontic Appliances ◽  
Long Term Changes

Changes in the contents of the oral flora, in gingival hypertrophy caused by fixed orthodontic appliances (Preprint)

2020 ◽  
Author(s):  
Ilma Robo ◽  
Saimir Heta ◽  
Enxhi Gjumsi ◽  
Vera Ostreni
Keyword(s):  
Oral Cavity ◽  
Topical Treatment ◽  
Orthodontic Treatment ◽  
Orthodontic Appliances ◽  
Laboratory Examination ◽  
Oral Flora ◽  
Streptococcus Anginosus ◽  
Fixed Orthodontic Appliances ◽  
Gingival Hypertrophy

BACKGROUND The placement of orthodontic apparatus in the oral cavity, according to the literature, should influence the alteration of oral flora, especially the subgingival one. The purpose of the study is to evaluate the subgingival flora of patients with fixed orthodontic appliances, regardless of placement time. OBJECTIVE The purpose of the study is to evaluate the subgingival flora of patients with fixed orthodontic appliances, regardless of placement time. METHODS In 3 cases of patients with fixed orthodontic appliances, a bacterial sample of the gingival sulcus was taken for laboratory examination. Patients were clinically evaluated for the presence or tendency, of having gingival hypertrophy. RESULTS Results from the 3 cases included in the study, 1 of them came up with Streptococcus Anginosus positive, Doxycilin-sensitive. The tendency for gingival hypertrophy was maximal 3% to 1.5% respectively in each patient. In the patient with different oral flora, daily topical treatment with tetracycline, placed in the gingival sulcus, was applied. CONCLUSIONS Alteration of the oral flora with the placement of fixed orthodontic appliances is not a fully verifiable fact, as it indicates the patient's follow-up, at the time of placement of the apparatus and until removal after orthodontic treatment, depending on the 2-3-year period of treatment. The tendency for gingival hypertrophy is apparently high, versus the presence of fixed orthodontic apparatus.

THE EFFECT OFPRP-THERAPY ON THE STATE OFTHE MICROCIRCULATORY BED USING FIXED ORTHODONTIC APPLIANCES

2020 ◽  
Vol 86 (1) ◽  
pp. 4-9
Author(s):  
I. Kovach ◽  
N. Gutarova ◽  
V. Alekseeva
Keyword(s):  
Oral Mucosa ◽  
The State ◽  
Term Effect ◽  
Pronounced Effect ◽  
Orthodontic Appliances ◽  
Antibacterial Drugs ◽  
Microcirculatory Bed ◽  
Long Term Effect ◽  
Fixed Orthodontic Appliances

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.

scholarly journals Long-term skeletodental stability of mandibular symphyseal distraction osteogenesis: Tooth-borne vs hybrid distraction appliances

2016 ◽  
Vol 87 (2) ◽  
pp. 246-253 ◽  
Author(s):  
Julia N Durham ◽  
John W King ◽  
Quinton C Robinson ◽  
Terry M Trojan
Keyword(s):  
Distraction Osteogenesis ◽  
Contact Point ◽  
Irregularity Index ◽  
Cephalometric Radiograph ◽  
Significant Difference ◽  
Lateral Cephalometric Radiograph ◽  
Cast Analysis ◽  
Viable Treatment

ABSTRACT Objective: To evaluate and compare the long-term skeletodental stability of mandibular symphyseal distraction osteogenesis (MSDO) achieved with the use of tooth-borne vs. hybrid distraction appliances. Materials and Methods: Posttreatment and follow-up orthodontic records were collected for 33 patients. The 14 patients who underwent distraction with a tooth-borne appliance had a mean follow-up of 5.08 years. The 19 patients who underwent distraction with a hybrid appliance had a mean follow-up of 6.07 years. Records included intraoral photographs, study models, postero-anterior cephalometric radiographs, and lateral cephalometric radiographs. Total changes of 16 measurements were analyzed to compare patients who underwent the tooth-borne vs. the hybrid distraction. Results: Both groups shared several similar and significant (P < .05) changes from posttreatment to follow-up records. Cast analysis showed a decrease in intercanine width and arch length and an increase in irregularity index. The postero-anterior cephalometric radiograph showed an increase in the width of the interincisal apices. The lateral cephalometric radiograph showed a decrease in the MP-L1 angle. The only statistically significant difference between the two appliances was the intercentral incisor contact point. Conclusion: Changes found are consistent with those found in untreated and orthodontically treated individuals over time. The long-term changes in the current patient sample can be determined to be expected and acceptable. MSDO is a viable treatment option with the use of either a hybrid or tooth-borne appliance.

scholarly journals A randomized controlled trial of a power brush/irrigator/mouthrinse routine on plaque and gingivitis reduction in orthodontic patients

2018 ◽  
Vol 89 (3) ◽  
pp. 378-384 ◽  
Author(s):  
Christina Erbe ◽  
Malgorzata Klukowska ◽  
Hans C Timm ◽  
Matthew L Barker ◽  
Janneke van der Wielen ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Positive Control ◽  
Analysis Of Covariance ◽  
Control Treatment ◽  
Orthodontic Appliances ◽  
Gingival Inflammation ◽  
Gingival Bleeding ◽  
Fixed Orthodontic Appliances ◽  
Orthodontic Patients ◽  
And Control

ABSTRACT Objectives: To assess plaque and gingivitis reduction in orthodontic patients after 4 weeks' use of an oscillating-rotating power brush, irrigator, and mouthrinse. Materials and Methods: This was a randomized, examiner-blind, clinical trial comparing plaque and gingivitis outcomes for an experimental power brush/irrigator/mouthrinse oral hygiene routine vs a dental prophylaxis followed by regular manual brushing (positive control). Fifty-one participants with fixed orthodontic appliances in the upper and lower jaw and a minimum of 15 gingival bleeding sites were randomly assigned to experimental or positive control treatment. Both groups were instructed to use their products at least twice daily. At baseline, week 1, and week 4, plaque was evaluated using digital plaque imaging analysis and a conventional subjective index. Gingival inflammation and bleeding were also measured. Analysis of covariance was used to compare groups. Results: Fifty-one participants (mean age = 13.9 years) were randomized; 50 (25 per group) completed the study. At baseline, group means were not statistically different (P > .1) for gingival inflammation or bleeding. At week 4, the experimental and control groups had a 10.0% to 32.7% and 5.9% to 6.7% reduction vs baseline, respectively, in plaque (across both methods); 12.6% and 8.3% reduction, respectively, in gingival inflammation; and 50.6% and 37.8% reduction, respectively, in bleeding. At week 4, group differences favoring the experimental group were statistically significant (P < .05) for gingival inflammation, gingival bleeding, and plaque (by conventional and digital imaging indexes). Conclusions: Use of a power brush/irrigator/mouthrinse resulted in statistically significantly greater plaque and gingivitis reductions than prophylaxis followed by manual brushing in patients with fixed appliances over 4 weeks.

scholarly journals Resin Nanoceramic CAD/CAM Restoration of the Primary Molar: 3-Year Follow-Up Study

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Akif Demirel ◽  
Tuğba Bezgin ◽  
Funda Akaltan ◽  
Şaziye Sarı
Keyword(s):  
Case Report ◽  
Clinical Use ◽  
Cost Of Treatment ◽  
Primary Molar ◽  
Second Molar ◽  
Follow Up Study ◽  
Cad Cam ◽  
And Function

This case report presents the clinical use of a resin nanoceramic CAD/CAM restoration of a primary second molar without successor in the form of a permanent second premolar tooth in a patient. Three-year follow-up of the case revealed that resin nanoceramic CAD/CAM restoration of the primary molar without successor achieved both aesthetics and function. Despite the high cost of treatment, this type of restoration should be considered if the retained tooth is expected to maintain functionality over the long term.

scholarly journals Effectiveness of a motionless ultrasonic toothbrush in reducing plaque and gingival inflammation in patients with fixed orthodontic appliances

2016 ◽  
Vol 87 (2) ◽  
pp. 279-285 ◽  
Author(s):  
Thayika Saruttichart ◽  
Pintu-on Chantarawaratit ◽  
Chalermpol Leevailoj ◽  
Panida Thanyasrisung ◽  
Waranuch Pitiphat ◽  
...  
Keyword(s):  
Mutans Streptococci ◽  
Plaque Index ◽  
Orthodontic Appliances ◽  
Gingival Inflammation ◽  
Fixed Orthodontic Appliances ◽  
Significant Difference ◽  
Before And After ◽  
Orthodontic Patients ◽  
Manual Toothbrush ◽  
Better Than

ABSTRACT Objective: To compare the effectiveness of a motionless ultrasonic toothbrush to a manual toothbrush in reducing dental plaque, gingival inflammation, and mutans streptococci in patients with fixed orthodontic appliances. Materials and Methods: Twenty-five orthodontic patients were recruited to this crossover study. The patients were randomized into two groups starting with manual or motionless ultrasonic toothbrushes for 30 days. After a 30-day washout period, the patients switched to the other toothbrush type for 30 days. Plaque and gingival indices were evaluated by two calibrated-blinded examiners before and after each 30-day period of brushing. Salivary samples were also collected for quantification of mutans streptococci. Results: On the bracket side, the motionless ultrasonic toothbrush showed a significantly higher mean plaque index bracket score after 30-day usage than baseline (P = .049), while the manual toothbrush group showed no difference between the before and after brushing periods (P = .10). The changes in plaque index bracket score were significantly more favorable in the manual toothbrush group than in the ultrasonic toothbrush group (P = .04). In contrast, no difference was observed on the nonbracket side. There was no significant difference in the changes of gingival index or the numbers of mutans streptococci between the two groups. Conclusion: Manual toothbrushing performed better than brushing with the motionless ultrasonic toothbrush in plaque removal on the bracket side in orthodontic patients. However, no difference was observed in terms of gingival status and the numbers of mutans streptococci.

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