A Comparative Study of Combined Periodontal and Orthodontic Treatment with Fixed Appliances and Clear Aligners in Patients with Periodontitis

Overview

Journal J Periodontal Implant Sci

Specialty Dentistry

Date 2016 Jan 7

PMID 26734489

Citations 12

Authors

Ji-Young Han

Affiliations

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Abstract

Purpose: With the increasing prevalence of orthodontic treatment in adults, clear aligner treatments are becoming more popular. The aim of this study was to evaluate the effect of orthodontic treatment on periodontal tissue and to compare orthodontic treatment with fixed appliances (FA) to clear aligner treatment (CAT) in periodontitis patients.

Methods: A total of 35 patients who underwent orthodontic treatment in the Department of Periodontology were included in this study. After periodontal treatment with meticulous oral hygiene education, patients underwent treatment with FA or CAT, and this study analyzed patient outcomes depending on the treatment strategy. Clinical parameters were assessed at baseline and after orthodontic treatment, and the duration of treatment was compared between these two groups.

Results: The overall plaque index, the gingival index, and probing depth improved after orthodontic treatment (P<0.01). The overall bone level also improved (P=0.045). However, the bone level changes in the FA and CAT groups were not significantly different. Significant differences were found between the FA and CAT groups in probing depth, change in probing depth, and duration of treatment (P<0.05). However, no significant differences were found between the FA and CAT groups regarding the plaque index, changes in the plaque index, the gingival index, changes in the gingival index, or changes in the alveolar bone level. The percentage of females in the CAT group (88%) was significantly greater than in the FA group (37%) (P<0.01).

Conclusions: After orthodontic treatment, clinical parameters were improved in the FA and CAT groups with meticulous oral hygiene education and plaque control. Regarding plaque index and gingival index, no significant differences were found between these two groups. We suggest that combined periodontal and orthodontic treatment can improve patients' periodontal health irrespective of orthodontic techniques.

Citing Articles

Digital orthodontic setup and clear aligners system for treating adult patients with periodontitis: a descriptive case report.

Ronsivalle V, Malara C, Cicciu M, Venezia P, Giudice A Front Dent Med. 2025; 5:1353114.

PMID: 39917643 PMC: 11797835. DOI: 10.3389/fdmed.2024.1353114.

analysis of the influence of the thermocycling and the applied force on orthodontic clear aligners.

Cintora-Lopez P, Arrieta-Blanco P, Martin-Vacas A, Paz-Cortes M, Gil J, Aragoneses J Front Bioeng Biotechnol. 2024; 11:1321495.

PMID: 38173871 PMC: 10761475. DOI: 10.3389/fbioe.2023.1321495.

Periodontal health status, oral microbiome, white-spot lesions and oral health related to quality of life-clear aligners versus fixed appliances: A systematic review, meta-analysis and meta-regression.

Llera-Romero A, Adobes-Martin M, Iranzo-Cortes J, Montiel-Company J, Garcovich D Korean J Orthod. 2023; 53(6):374-392.

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Impact of Clear Aligners on Oral Health and Oral Microbiome During Orthodontic Treatment.

Rouzi M, Zhang X, Jiang Q, Long H, Lai W, Li X Int Dent J. 2023; 73(5):603-611.

PMID: 37105789 PMC: 10509397. DOI: 10.1016/j.identj.2023.03.012.

Assessment of the periodontal health status and gingival recession during orthodontic treatment with clear aligners and fixed appliances: A systematic review and meta-analysis.

Crego-Ruiz M, Jorba-Garcia A Med Oral Patol Oral Cir Bucal. 2023; 28(4):e330-e340.

PMID: 36641738 PMC: 10314350. DOI: 10.4317/medoral.25760.

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