IADR Abstract Archives
Clinical Evidence of Periodontal Stability with Orthodontic Treatment in Patients with Reduced Periodontium
Objectives: To determine the changes in periodontal clinical parameters in patients with reduced periodontium and pathological tooth migration under a specific orthodontic protocol.
Methods: An experimental study of uncontrolled clinical trial type, of follow-up was carried out. Sample of 16 patients with periodontal discharge, pathological tooth migration and periodontal support therapy. Orthodontic treatment was performed with bracket cementation according to the remaining bone level using light and intermittent forces. The periodontal clinical parameters were recorded on probing depth, gingival recession, clinical insertion level, plaque index and bleeding on probing at the time of periodontal discharge (t0) and 18 months after orthodontic treatment (t1) started by the same clinician previously calibrated.
Results: There is no difference on probing depth between t0 and t1 (p>0.05). There are differences in gingival recession and clinical insertion level (p<0.05), but without clinical significance (≤1mm). There is an increase in dental biofilm and a decrease in bleeding on probing in t1.
Conclusions: The periodontal parameters of probing depth, gingival recession, clinical insertion level and bleeding of probing of patients with pathological dental migration and reduced periodontium present a minor clinical change during orthodontic treatment under a specific protocol, maintaining the periodontal stability obtained at the time of periodontal discharge. The periodontal treatment and periodontal support therapy is a requirement for performing orthodontic treatment. Dental biofilm control should be more cautious during orthodontic treatment as it increases at 18 months.
Methods: An experimental study of uncontrolled clinical trial type, of follow-up was carried out. Sample of 16 patients with periodontal discharge, pathological tooth migration and periodontal support therapy. Orthodontic treatment was performed with bracket cementation according to the remaining bone level using light and intermittent forces. The periodontal clinical parameters were recorded on probing depth, gingival recession, clinical insertion level, plaque index and bleeding on probing at the time of periodontal discharge (t0) and 18 months after orthodontic treatment (t1) started by the same clinician previously calibrated.
Results: There is no difference on probing depth between t0 and t1 (p>0.05). There are differences in gingival recession and clinical insertion level (p<0.05), but without clinical significance (≤1mm). There is an increase in dental biofilm and a decrease in bleeding on probing in t1.
Conclusions: The periodontal parameters of probing depth, gingival recession, clinical insertion level and bleeding of probing of patients with pathological dental migration and reduced periodontium present a minor clinical change during orthodontic treatment under a specific protocol, maintaining the periodontal stability obtained at the time of periodontal discharge. The periodontal treatment and periodontal support therapy is a requirement for performing orthodontic treatment. Dental biofilm control should be more cautious during orthodontic treatment as it increases at 18 months.