scholarly journals Influence Of Orthodontic Treatment On Gingival Condition

2016 ◽  
Vol 12 (21) ◽  
pp. 44
Author(s):  
Irinel Panainte ◽  
Ramona Vlad ◽  
Monica Monea
Keyword(s):  
Treatment Period ◽  
Orthodontic Treatment ◽  
Statistical Correlation ◽  
Plaque Index ◽  
Gingival Index ◽  
Treatment Results ◽  
Exclusion Criteria ◽  
Fixed Appliances ◽  
Lower Arch

Aim of the study was to evaluate gingival modifications occuring in patients during orthodontic treatment with fixed appliances. Materials and methods. After inclusion and exclusion criteria were applied, in study were included 60 patients (35 girls and 25 boys). Mean age was 13.1 years for girls and 12.8 years for boys. Treatment period was 19.2 months for the upper arch and 21.3 months for the lower arch. There were taken 2 types of measurements ː plaque index (PI) and gingival index (GI), before, during and after treatment. Results. During orthodontic treatment buccal GI was 1.35 ± 0.32 and interpoximal GI was 1.75 ± 0.25. PI was 0.85 ± 0.28. After the appliances were removed, buccal GI was 1.44 ± 0.37, inteproximal GI 1.86 ± 0.22 and PI 1.01 ± 0.29. When PI and GI were measured in individual teeth it was found a statistical correlation in the measured values (p≤0.05). Conclusions. Based on these results we conclude that gingival modifications occur during orthodontic treatment. The most important changes are in the lower arch in molar area. After the treatment is finished, the situations come back in normal parameters.

scholarly journals Appropriate Oral Hygiene Motivation Method for Patients with Fixed Appliances

2007 ◽  
Vol 77 (6) ◽  
pp. 1085-1089 ◽  
Author(s):  
Zuhal Yetkin Ay ◽  
Mözgür Sayın ◽  
Yener Özat ◽  
Tuba Goster ◽  
A. Onur Atilla ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
The Other ◽  
Plaque Index ◽  
Gingival Index ◽  
Verbal Information ◽  
Bleeding On Probing ◽  
Orthodontic Patients ◽  
Fixed Appliances ◽  
The Difference

Abstract Objective: To determine the most appropriate oral hygiene motivation method (OHMM) for orthodontic patients with fixed appliances. Materials and Methods: A total of 150 orthodontic patients, scheduled for their regular controls, were included in this study. The patients were divided into five groups (n = 30) according to the verbal OHMM and instructed as follows: only verbal information (V), verbal information with demonstration on model (M), verbal information with demonstration on model and self application by the patient (M+A), verbal information using the illustration catalog (I), and verbal information using the illustration catalog and self application by the patient (I+A). All of the applications of the patients were made under the supervision of the clinicians. The periodontal parameters (plaque index [PI], gingival index [GI], and bleeding on probing [BOP]) were recorded at the baseline (before the instructions of the OHMM), 1 week later, and 4 weeks after the OHMM. Results: All periodontal parameters showed significant decreases after 4 weeks in all OHMM groups (P < .05). I+A group has significantly lower PI scores and BOP percentages than the other groups (P < .05) after 4 weeks. The difference between the V group and M+A, I, and I+A groups in the GI scores were significant (P < .05), and the I+A group has presented the lowest GI score. Conclusions: The OHMM applied by the patients under the supervision of the clinician seemed to be more successful in the elimination of plaque and inflammatory symptoms in patients with fixed appliances.

scholarly journals A comparison of treatment results of adult deep-bite cases treated with lingual and labial fixed appliances

2021 ◽  
Author(s):  
Hande Pamukçu ◽  
Ömür Polat Özsoy
Keyword(s):  
Orthodontic Treatment ◽  
Inclusion Criteria ◽  
Treatment Results ◽  
Lower Incisor ◽  
Deep Bite ◽  
Mandibular Plane ◽  
Number Of Patients ◽  
Significant Difference ◽  
Fixed Appliances ◽  
Lower Incisors

ABSTRACT Objectives To compare the cephalometric treatment results of adult deep-bite cases after labial and lingual fixed orthodontic treatment. Materials and Methods A total of 102 patients underwent lingual orthodontic treatment and complete records were evaluated. The following inclusion criteria were used: patients who had Angle Class I or mild Class II malocclusion; comprehensive orthodontic treatment that did not include intrusion mechanics or any extractions; patients with an initial overbite of more than 3.7 mm. Thirteen patients met the inclusion criteria. These cases were matched with the same number of patients according to age with a labial orthodontic treatment group. Pre- and post-treatment cephalometric radiographs were evaluated. Independent t test or Fisher exact tests were performed to assess the differences between the groups. Results Proclination of the upper incisors was higher in the labial group. Incisor mandibular plane angle (IMPA) showed an increase of 1.2° in the lingual group and 9.7° in the labial group. Lower incisor edge was approximately in a stable sagittal position in the lingual group but significant lower incisor proclination was seen in the labial group. The lower incisors were intruded (-1 mm) in the lingual group but lower incisors were minimally extruded (0.3 mm) in the labial group. No significant difference was found in the movements of upper and lower molars for both groups. Conclusions The nature of lower incisor movement involved less protrusion in lingual orthodontics than the labial treatment. Lingual orthodontic treatment is a better option in adult cases where intrusion of lower incisors without labial tipping is desired.

scholarly journals Influence of reminder therapy for controlling bacterial plaque in patients undergoing orthodontic treatment: A systematic review and meta-analysis

2018 ◽  
Vol 88 (4) ◽  
pp. 483-493 ◽  
Author(s):  
Igor Felipe Pereira Lima ◽  
Walbert de Andrade Vieira ◽  
Ítalo de Macedo Bernardino ◽  
Pedro Augusto Costa ◽  
Anderson Paulo Barbosa Lima ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Orthodontic Treatment ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
Mean Difference ◽  
Plaque Index ◽  
Cochrane Library ◽  
Gingival Index ◽  
White Spots ◽  
Standardized Mean Difference

ABSTRACT Objective: To assess the scientific evidence regarding the influence of reminder therapy on plaque index, gingival index, and white spots in patients subjected to orthodontic treatment. Materials and Methods: Randomized clinical trials were searched in the electronic databases LILACS, PubMed, SciELO, Scopus, Web of Science, Embase, LIVIVO, and Cochrane Library. The databases OpenThesis and OpenGrey were used to capture the “gray literature,” preventing selection and publication biases. The risk of bias was assessed by the Joanna Briggs Institute Critical Appraisal Checklist for Randomized Controlled Trials tool. The software Review Manager was used for the meta-analysis. The heterogeneity among studies was assessed through the I2 statistic. A summary of the overall strength of evidence available was assessed using the Grades of Recommendations Assessment, Development, and Evaluation tool. Results: A total of 332 records were found, from which only 7 articles met the inclusion criteria and were subjected to analysis. Reminder therapy showed improved scores for the plaque index (standardized mean difference = −1.22; 95% confidence interval = −2.03 to −0.42; P = .003) and the gingival index (standardized mean difference = 1.49; 95% confidence interval = −2.61 to 0.37; P = .009). Moreover, there was lower occurrence of white spots (relative risk = 0.53; 95% confidence interval = 0.38 to 0.74; P < .001) when reminder therapy was implemented. Conclusions: According to the existing high-quality evidence, reminder therapy is a valuable strategy and may contribute to the reduction of plaque and gingival indices as well as to the lower occurrence of white spots in patients subjected to orthodontic treatment.

scholarly journals The Influence Of Orthodontic Treatment On Dental Pulp Response To Sensitivity Tests

2016 ◽  
Vol 12 (6) ◽  
pp. 322
Author(s):  
Ramona Vlad ◽  
Irinel Panainte ◽  
Liana Hantoiu ◽  
Monica Monea
Keyword(s):  
Dental Pulp ◽  
Orthodontic Treatment ◽  
Detection Threshold ◽  
Response Threshold ◽  
Testing Material ◽  
Exclusion Criteria ◽  
Contention Period ◽  
Sensitivity Tests ◽  
Fixed Appliances ◽  
The Difference

Aim of our study. To evaluate the difference between sensory detection threshold reactions of teeth under orthodontic treatment with fixed appliances, determined by electrical and thermal pulp testing. Material and methods. After a selection based on inclusion and exclusion criteria, 51 patients with a mean age of 19,3+/- 3,6 years old who presented to the Center for Integrated Dental Medicine of the Faculty of Dental Medicine from Târgu Mureș for orthodontic treatment had been included in this study. The reactions to thermal and electrical pulp testing were measured at baseline, after 8 weeks of treatment and during the contention period. Results. The application of orthodontic force immediately increased the response threshold which peaked after 8 weeks. Conclusions. Based on these results we conclude that dental specialists should interpret with caution the results of electric pulp testing in teeth under orthodontic treatment with fixed appliances as the cold tests with ethyl chloride are more reliable.

scholarly journals Clinical Evaluation Of The Periodontal Condition During Fixed Orthodontic Treatment

2016 ◽  
Vol 12 (24) ◽  
pp. 78
Author(s):  
Krisztina Martha ◽  
Irinel Panainte ◽  
Alexandru Ogodescu
Keyword(s):  
Clinical Study ◽  
Dental Plaque ◽  
Orthodontic Treatment ◽  
Plaque Index ◽  
Orthodontic Appliances ◽  
Gingival Index ◽  
Gingival Inflammation ◽  
Periodontal Status ◽  
Periodontal Condition ◽  
Probing Depth

Throughout orthodontic treatment, oral hygiene is particularly important and must be rigorously controlled throughout therapeutic act. The aim of our clinical study was to examine the periodontal status of patients before, during and after orthodontic appliances are used. 50 patients were selected, plaque index, gingival index, modified papillae bleeding index and clinical probing depth was evaluated on anchorage teeth, separately those with orthodontic bands and tubes. One of the most common findings during this kind of treatment is gingival alteration in the posterior region. Our practical observations showed a different status of these alterations at patients wearing bands on the anchorage teeth versus those with buccal tubes. Using some of the indices which describes the periodontal status at adult and adolescent patients, we found out that adolescents present a higher plaque index, and the accumulation of dental plaque is more severe when bands are used in both categories. Another finding, which is very important in everyday practice is that gingival inflammation and plaque accumulation decrease one month after debonding.

scholarly journals The British Orthodontic Society MOrth Cases Prize 2019

2021 ◽  
pp. 146531252098287
Author(s):  
Adam C Jowett
Keyword(s):  
Class Ii ◽  
Functional Appliance ◽  
First Case ◽  
Permanent Molars ◽  
Fixed Appliances ◽  
Unerupted Teeth ◽  
Removable Appliance ◽  
Division 2 ◽  
Lower Arch ◽  
First Permanent Molars

This paper describes the orthodontic treatment of two cases that were successful in winning the British Orthodontic Society (BOS) Membership in Orthodontics (MOrth) Cases Prize in 2019. The first case describes the management of a 12-year-old girl with a Class II division 2 malocclusion complicated by moderate upper and lower arch crowding, multiple unerupted teeth, restored lower first permanent molars, pseudo-transposition of the lower left lateral incisor and canine, and diminutive upper lateral incisors. Treatment involved a combination of an upper removable appliance followed by upper and lower preadjusted edgewise fixed appliances. Anteroposterior correction and overbite reduction was achieved with triangular Class II elastics with posterior occlusal disengagement. Both upper permanent canines were exposed and aligned, and the diminutive upper incisors built up with resin-based composite. Treatment was completed over a period of 23 months. The second case describes the management of a 13-year-old boy with a Class II division 2 malocclusion complicated by severe upper and lower arch crowding with unerupted UR5, UL4, LR3, rotated LR5, an increased overbite complete to tooth, buccally displaced upper canines and hypoplastic upper first premolars. Treatment involved a first phase of functional appliance therapy, followed by the extraction of UR4, UL4, LL5, LR4 and upper and lower preadjusted edgewise fixed appliances over a 28-month period.

Changes in the Complexity of Orthodontic Treatment for Patients Referred to a Teaching Hospital

1988 ◽  
Vol 15 (1) ◽  
pp. 27-32 ◽  
Author(s):  
C. D. Stephens ◽  
N. W. Harradine
Keyword(s):  
General Practitioner ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Further Training ◽  
Fixed Appliance ◽  
Dental Hospital ◽  
Orthodontic Patients ◽  
Specialist Treatment ◽  
Fixed Appliances ◽  
Removable Appliance

The records of 200 orthodontic patients accepted for treatment by the Orthodontic Department of the Bristol Dental Hospital in 1977 were compared with 200 taken on in 1985 in order to determine whether there had been any change in the proportion of referred cases requiring more complex procedures. Within each sample, cases were categorized as follows: (a) suitable for removable appliance treatment by an undergraduate or general practitioner; (b) requiring simple one arch fixed appliance treatment such as might he attempted by a general practitioner after a period of further training; (c) needing specialist treatment such as full multibracketed fixed appliances or orthognathic surgery. It was found that there had been no change in the proportions of simple and complex cases referred during the 8-year period although the proportion of patients now receiving complex treatment had increased greatly. Possible explanations and implications are discussed.

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