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

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.

2021 ◽  
Vol 2 (2) ◽  
pp. 4-15
Author(s):  
Musliana Mustaffa ◽  
Siti Hajjar Nasir

The endodontic-orthodontic interface is not well understood due to the limited scientific literature on the topic. This article aims to provide an overview of the orthodontic treatment and the risk of root resorption, the effects of orthodontic tooth movement on dental pulp and endodontically treated teeth, the role of orthodontics in endodontic-restorative treatment planning, and interdisciplinary patient management. Articles published in English from 1982 to 2021 were searched manually from google scholar using keywords ‘endodontic-orthodontic interface’ and ‘endodontic-orthodontic interrelationship’. Another search engine was MEDLINE/PubMed database using keywords ‘endodontics AND orthodontics’, ‘orthodontic tooth movement AND dental pulp’, 'orthodontic tooth movement AND endodontic treatment' and ‘orthodontics AND dental trauma’. Other relevant articles were obtained from the references of the selected papers. Alterations to the dental pulp following orthodontic tooth movement can be histologic and/or cell biological reactions as well as the increased response threshold to pulp sensibility tests. However, the occurrence of root resorption is complex and multifactorial, and can be linked to individual variation, genetic predisposition and orthodontic treatment-related factors. Endodontically treated teeth can move as readily and respond similarly to orthodontic forces as vital teeth, however with inadequate endodontic treatment, the risk of apical inflammation and bone destruction following orthodontic tooth movement is increased. Dental treatment that involves endodontic and orthodontic specialities should be carefully planned according to the individual case, taking into consideration the skills and experience of the clinicians while applying interdisciplinary patient management and available scientific data.


2016 ◽  
Vol 12 (21) ◽  
pp. 44
Author(s):  
Irinel Panainte ◽  
Ramona Vlad ◽  
Monica Monea

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.


2017 ◽  
Vol 1 ◽  
Author(s):  
Jian Ke Khoo ◽  
Thahar Bergman ◽  
Laviana Avi ◽  
Firman Ria N

<p class="AbstractContent"><strong>Objective:</strong> A concern in fixed appliances orthodontic treatment besides reestablishing the normal occlusion characteristics might cause repositioning of the condyle position in TMJ region. The objective of this research is to find out whether there is a difference of TMJ position in Angle class I malocclusion type 1, 2, 3, 4, and 5 before and after fixed appliances orthodontic treatment.</p><p class="AbstractContent"><strong>Methods:</strong> This research is a pre-and-post design study with analytical statistical approach which compared the TMJ position obtained from tracings 80 lateral cephalometric radiographs before and after fixed appliances orthodontic treatment. Purposive sampling technique was used to determine the sample size in Orthodontic Department of Rumah Sakit Gigi dan Mulut Universitas Padjadjaran from 2009-2015. The data was analyzed by using Kolmogorov-Smirnov Test and paired t-test.</p><p class="AbstractContent"><strong>Results:</strong> This study revealed that the changes of condyle position in Condylion to Vertical T line (horizontally) after orthodontic treatment is not significant (P&gt; 0.05) in Angle class I malocclusion. However, the difference of condyle position in Condylion to TC line (vertically) shows a significant difference (P&lt; 0.05) in Angle class I malocclusion.</p><p class="AbstractContent"><strong>Conclusion:</strong> The distance of the condyle from Condylion to TC line increased after fixed appliances orthodontic treatment for Angle class I malocclusion patients.</p>


1988 ◽  
Vol 15 (1) ◽  
pp. 27-32 ◽  
Author(s):  
C. D. Stephens ◽  
N. W. Harradine

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.


Author(s):  
Roshan Kumar Jha ◽  
Ranjit S. Ambad ◽  
Priya Koundal ◽  
Akansha Singh

It has been proved that tobacco is one of the cholesterol dependent risk factors pathogenically, and in addition with other risk factors it may lead to coronary heart disease. Thus, a strong interaction exists between hypercholesterolemia and tobacco ingesting in the genesis of coronary heart disease. The aim of this study was to study the effect of tobacco smoking and chewing and compare its effect on lipoproteins. 60 subjects were included in the study, and were grouped into 3 three groups, tobacco smokers, tobacco chewers and tobacco non-abusers. Each group comprises 20 participants: selected on the basis of inclusion and exclusion criteria. Proper sampling and sample processing methods were employed to evaluate lipid profile. Total cholesterol and triglycerides levels were increased in smokers in comparison to non-smokers/non-chewers, and the differences were significant p<0.0001. HDL level was decreased in smokers as compared to non-smokers/non-chewers and the difference was statistically significant p<0.0001. Total cholesterol and LDL levels were increased in smokers in comparison to chewers. HDL level was decreased in chewers as compared to chewers. There was no significant association in any of the parameters. Present study observed increased and significant p<0.0001 differences in levels of total cholesterol and triglycerides while, HDL levels were decreased significantly p<0.0001, and also observed there was no significant difference among tobacco smokers and chewers. This may be a new area of interest for future studies.


2007 ◽  
Vol 77 (6) ◽  
pp. 1085-1089 ◽  
Author(s):  
Zuhal Yetkin Ay ◽  
Mözgür Sayın ◽  
Yener Özat ◽  
Tuba Goster ◽  
A. Onur Atilla ◽  
...  

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 &lt; .05). I+A group has significantly lower PI scores and BOP percentages than the other groups (P &lt; .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 &lt; .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.


1995 ◽  
Vol 22 (2) ◽  
pp. 113-122 ◽  
Author(s):  
S. M. Chadwick ◽  
P. H. Gordon

Decalcification of the teeth remains a problem during orthodontic treatment with fixed appliances. It has been suggested that bonding agents which release fluoride could supply it to the area of the tooth most at risk from decalcification. The aim of this study was to estimate uptake by enamel adjacent to a fluoride releasing bonding agent. Acid etch biopsies were used to estimate the concentration of fluoride in enamel adjacent to brackets bonded with Vitrabond® and Geristore®. Results indicate that there was a significant increase in the concentration of fluoride in enamel adjacent to Vitrabond®. The clinical significance of the increase in the concentration of fluoride adjacent to Vitrabond® and the mechanism by which fluoride moves from the material into the enamel remain unclear.


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