Effects of Self-ligating Orthodontic Appliances on the Periodontal Health of Adolescents: A Prospective Cohort Study

Overview

Journal Oral Health Prev Dent

Date 2021 Feb 18

PMID 33600090

Citations 2

Authors

Aikaterini Papadimitriou

Georgios Kouvelis

Theodora Fanaropoulou

Ioannis Doulis

Merakou Kyriakoula

Anastasia Mparmpouni

Dimitrios Kloukos

Affiliations

Soon will be listed here.

Abstract

Purpose: To evaluate the association between orthodontic treatment with fixed appliances and periodontal health during treatment by examining gingival inflammation indices and saliva properties.

Materials And Methods: Thirty consecutive orthodontic patients, aged 11-18 years old, who were eligible for fixed orthodontic appliances, were included in the study. Plaque index (PI), gingival index (GI), salivary pH and flow rate were recorded at three timepoints: immediately before placement of orthodontic fixed appliances (T0), and 1 (T1) and 3 months (T2) after bonding.

Results: The hypothesis that PI would remain constant across timepoints was rejected. PI increased over time (0 to 1 scale, T1-T0: mean diff. = 0.10, 95% CI = 0.03, 0.18, p = 0.01; T2-T0: mean diff. = 0.16, 95% CI = 0.08, 0.24, p < 0.001). On the other hand, GI changed statistically significantly over time (p = 0.05). Patients' age was not a predictor for PI change (p = 0.93), but it was for GI (p = 0.01). As anticipated, average PI was found to be higher for the mandibular dentition by 0.10 (95% CI = 0.04, 0.16) and the labial surfaces of teeth of both jaws by 0.51 (95% CI = 0.45, 0.57).

Conclusions: Within the framework of the current study, orthodontic treatment appeared to affect the periodontal health of patients, but the changes were clinically negligible and not consistently statistically significant.

Citing Articles

Changes in the pH and the Flow Rate of Saliva During Orthodontic Treatment with Fixed Orthodontic Appliances: A Systematic Review.

Jakavice R, Zaroviene A Turk J Orthod. 2023; 36(3):199-207.

PMID: 37782023 PMC: 10548056. DOI: 10.4274/TurkJOrthod.2022.2022.66.

Pathophysiology of Demineralization, Part II: Enamel White Spots, Cavitated Caries, and Bone Infection.

Eugene Roberts W, Mangum J, Schneider P Curr Osteoporos Rep. 2022; 20(1):106-119.

PMID: 35156182 PMC: 8930953. DOI: 10.1007/s11914-022-00723-0.

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