scholarly journals The effect of removable orthodontic appliances on oral microbiota: systematic review

2020 ◽  

Abstract The authors have requested that this preprint be withdrawn due to author disagreement.

2019 ◽  
Author(s):  
Alessandra Lucchese ◽  
Marianna Pellegrino ◽  
Eugenio Montini ◽  
Alessandra Liguori ◽  
Maurizio Manuelli

Abstract Background Removable orthodontic appliances due to plaque accumulation and oral microbe colonization, might be associated with intraoral adverse effects on enamel or periodontal tissues. The present systematic review was carried out to evaluate both qualitatively and quantitatively the microbiological changes occurring during orthodontic therapy with removable orthodontic appliances. Methods PubMed, Cochrane, EMBASE, Web of Science, Scopus, Ovid Medline, Dentistry & Oral Sciences Source and Vita-Salute San Raffaele University databases were searched. The research included every article published up to December 2018. The Preferred Reporting Items for Reporting Systematic reviews and Meta Analyses (PRISMA) protocol and the ‘Swedish Council on Technology Assessment in Health Care Criteria for Grading Assessed Studies’ (SBU) method were adopted to conduct this systematic review. Results The current study has moderate/high evidence, according with SBU method. It demonstrates that removable appliances do influence the oral microbiota, with significant alterations just 15 days after the beginning of therapy, independently from the type of appliance. Furthermore, the levels of oral pathogens decrease significantly or even returned to pre-treatment levels several months later the therapy end. Conclusions This review suggests that orthodontic treatment with removable appliances might not induce permanent changes to oral microflora. Protocol: PROSPERO database registration number CRD42019121762.


2020 ◽  
Author(s):  
Alessandra Lucchese ◽  
Marianna Pellegrino ◽  
Eugenio Montini ◽  
Alessandra Liguori ◽  
Maurizio Manuelli

Abstract Background Removable orthodontic appliances may favour plaque accumulation and oral microbe colonization. This might be associated with intraoral adverse effects on enamel or periodontal tissues. The proposed systematic review was carried out to evaluate qualitatively and quantitatively the microbiological changes occurring during orthodontic therapy with removable orthodontic appliances. Methods PubMed, Cochrane, EMBASE, Web of Science, Scopus, Ovid Medline, Dentistry & Oral Sciences Source and Vita-Salute San Raffaele University databases were searched. The research included every article published up to December 2018 . The Preferred Reporting Items for Reporting Systematic reviews and Meta Analyses (PRISMA) protocol and the ‘Swedish Council on Technology Assessment in Health Care Criteria for Grading Assessed Studies’ (SBU) method were adopted to conduct this systematic review. Results The current study has a moderate evidence, demonstrating that removable appliances do influence the oral microbiota. Significant alterations occur just 15 days after the beginning of therapy, independently from the type of appliance. Furthermore, the levels of oral pathogens decrease significantly or even returned to pre-treatment levels several months later the therapy end. Conclusions This review suggests that orthodontic treatment with removable appliances induces changes to the oral microflora, but these alterations might not be permanent. Protocol : PROSPERO database registration number CRD42019121762. Keywords: Oral microbiology; Removable orthodontic appliances; Oral microflora changes; Caries bacteria.


2021 ◽  
Vol 11 (6) ◽  
pp. 2881
Author(s):  
Alessandra Lucchese ◽  
Chiara Bonini ◽  
Maddalena Noviello ◽  
Maria Lupo Stanghellini ◽  
Raffaella Greco ◽  
...  

Background (1): Removable orthodontic appliances may favor plaque accumulation and oral microbe colonization. This might be associated with intraoral adverse effects on enamel or periodontal tissues. The proposed systematic review was carried out to evaluate qualitatively and quantitatively the microbiological changes occurring during orthodontic therapy with removable orthodontic appliances. Methods (2): PubMed, Cochrane Library, Embase, Web of Science, Scopus, Ovid Medline, and Dentistry and Oral Sciences Source were searched. The research included every article published up to January 2020. The Preferred Reporting Items for Reporting Systematic reviews and Meta Analyses (PRISMA) protocol and the "Swedish Council on Technology Assessment in Health Care Criteria for Grading Assessed Studies" (SBU) method were adopted to conduct this systematic review. Results (3): The current study has a moderate evidence, demonstrating that removable appliances do influence the oral microbiota. Significant alterations occur just 15 days after the beginning of therapy, independently from the type of appliance. Furthermore, the levels of oral pathogens decrease significantly or even returned to pre-treatment levels several months later the therapy end. Conclusions (4): This review suggests that orthodontic treatment with removable appliances induces changes to oral microflora, but these alterations might not be permanent.


2011 ◽  
Vol 35 (4) ◽  
pp. 433-436 ◽  
Author(s):  
Asli Topaloglu-Ak ◽  
Fahinur Ertugrul ◽  
Ece Eden ◽  
Mustafa Ates ◽  
Hakan Bulut

Objective: This study investigates the effect of fixed and removable orthodontic appliances among children on salivary Streptococcus mutans, Lactobacillus sp. and Candida albicans. Study Design: The study was conducted on 69 patients aged between 6-17 years who used fixed or removable orthodontic appliances. Five ml samples of unstimulated saliva from each patient were collected at baseline and at the 1, 3 and 6 month periodic controls. Samples were diluted and plated on Mitis Salivarus Agar (MSA), Man Rogosa Sharp Agar (MRS) and Saboroud Dextrose Agar (SDA). The growths on the plates were examined under a stereomicroscope. Numbers of colony forming units (CFU) per plate were counted. For statistical analysis,the paired t test and Chi-Square were used. Results: S mutans and Lactobacillus sp counts increased significantly 6 months after the insertion of fixed/removable orthodontic appliances in the oral cavity. A significant increase for C albicans presence was noted after 3 months compared with baseline for fixed appliances.Conclusion: Long-term utilization of orthodontic appliances may have a negative effect on microbial flora and increase the risk of new carious lesions and periodontal problems. Patients should be recalled within short time intervals to be motivated for oral hygiene during their orthodontic therapy.


2018 ◽  
Vol 10 (1) ◽  
pp. 1476645 ◽  
Author(s):  
Alessandra Lucchese ◽  
Lars Bondemark ◽  
Marta Marcolina ◽  
Maurizio Manuelli

2021 ◽  
Vol 9 (7) ◽  
pp. 1450
Author(s):  
Yoann Maitre ◽  
Rachid Mahalli ◽  
Pierre Micheneau ◽  
Alexis Delpierre ◽  
Marie Guerin ◽  
...  

This systematic review aims to identify probiotics and prebiotics for modulating oral bacterial species associated with mental disorders. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guideline, we search the electronic MEDLINE database published till January 2021 to identify the studies on probiotics and/or prebiotics for preventing and treating major oral dysbiosis that provokes mental disorders. The outcome of the search produces 374 records. After excluding non-relevant studies, 38 papers were included in the present review. While many studies suggest the potential effects of the oral microbiota on the biochemical signalling events between the oral microbiota and central nervous system, our review highlights the limited development concerning the use of prebiotics and/or probiotics in modulating oral dysbiosis potentially involved in the development of mental disorders. However, the collected studies confirm prebiotics and/or probiotics interest for a global or targeted modulation of the oral microbiome in preventing or treating mental disorders. These outcomes also offer exciting prospects for improving the oral health of people with mental disorders in the future.


2014 ◽  
Vol 19 (2) ◽  
pp. 46-55 ◽  
Author(s):  
Amanda Osório Ayres de Freitas ◽  
Mariana Marquezan ◽  
Matilde da Cunha Gonçalves Nojima ◽  
Daniela Sales Alviano ◽  
Lucianne Cople Maia

Objective: To investigate whether there is scientific evidence to support the hypothesis that the presence of orthodontic fixed appliances influences the oral microbiota. Methods: The search for articles was conducted in PubMed; ISI Web of Knowledge and Ovid databases, including articles published in English until May 17th, 2012. They should report human observational studies presenting the following keywords: "fixed orthodontic appliance" AND "microbiological colonization"; OR "periodontal pathogens"; OR "Streptococcus"; OR "Lactobacillus"; OR "Candida"; OR "Tannerella forsythia"; OR "Treponema denticola"; OR "Fusobacterium nucleatum"; OR "Actimomyces actinomycetemcomitans"; OR "Prevotella intermedia", OR "Prevotella nigrescens"; OR "Porphyromonas gingivalis". Articles were previously selected by title and abstract. Articles that met the inclusion criteria were analyzed and classified as having low, moderate or high methodology quality. A new detailed checklist for quality assessment was developed based on the information required for applicable data extraction for reviews. The study design, sample, follow-up period, collection and microbial analysis methods, statistical treatment, results and discussion were assessed. Results: The initial search retrieved 305 articles of which 33 articles were selected by title and abstract. After full-text reading, 8 articles met the inclusion criteria, out of which 4 articles were classified as having low and 4 as moderate methodological quality. The moderate methodological quality studies were included in the systematic review. Conclusions: The literature revealed moderate evidence that the presence of fixed appliances influences the quantity and quality of oral microbiota.


2014 ◽  
Vol 62 (2) ◽  
pp. 185-190
Author(s):  
Ricardo Alves SOUZA ◽  
Alberic Costa CARVALHO ◽  
Larissa Passos BARRETTO ◽  
Francisco Xavier Paranhos Coêlho SIMÕES

The purpose of this clinical case report is to discuss the approach to oral rehabilitation of a patient with severe dental alterations such as enamel hypoplasia, change in shape, supernumerary tooth, dental ankylosis, agnesia and crowing in the incisor region. All of these problems compromised not only the esthetical and functional aspects of this patient, but his social relationships as well. Thus integrated planning between Pediatric Dentistry and Orthodontics made it possible to provide the best treatment alternative to recover the patient's stomatognathic system. Esthetic restorations were performed in the anterior tooth region with the use of resin composites, in addition to the use of removable orthodontic appliances, associated with serial extractions and supernumerary tooth removal. There were significant improvements in the esthetic and functional aspects of dentition, in addition to the patient demonstrating good evolution in his psychosocial condition, as he smiled and was more communicative during each follow-up appointment, also according to his mother's reports.


Sign in / Sign up

Export Citation Format

Share Document