•  
  •  
 

Corresponding Author

Sebar D. Abdulazeez

Authors ORCID

0000-0003-4055-7981

Document Type

Research Article

Abstract

Fixed orthodontic appliances corrupt plaque removal, proper oral hygiene, and gingival health so periodontal evaluation is important to be checked in every appointment. The aim of the present study was to assess gingival health among patients with a fixed orthodontic appliance. A clinical comparative study conducted on 25 patients with an aged ranged from 15 to 25 years. Clinical parameters included plaque index (PI), gingival index (GI), and bleeding on probing (BOP) were recorded at base line before starting orthodontic treatment and after 1 month of treatment. A double paired t-test was applied to the data collected for statistical analysis. The mean value of PI (1.11), GI (1.155), and BOP (0.600) scores was increased after placement of fixed orthodontic appliance, but with no statistically significant difference with base line for PI (P-value = 0.596), GI (P-value = 0.355), and BOP (P-value = 0.256), respectively. Regarding age group, mean PI (1.46), GI (1.22), and BOP (0.875) were increased with increasing age, patients who age’s ≥20 showed statistical significant difference for gingival and plaque means P-value = 0.006 and P-value = 0.03) for ≥20, respectively. The finding of this study had shown that patients with fixed orthodontic appliances had non-significant increase in the mean value of plaque, gingival, and BOP indices scores. All mean scores were increased with increasing age, but with non-significantly for BOP only.

Keywords

Age, Bleeding on probing, Fixed orthodontic appliance, Gingival index, Plaque index

References

Al Jawad, F. A. 2011. An Investigation of the Early Effects of Fixed Orthodontic Treatment on Dietary Intake and Body Weight in Adolescent Patients. United Kingdom, Queen Mary’s School of Medicine and Dentistry/University of London, PhD Thesis Dissertation.

Alasadi, A. Z. and A. A. Qasim. 2018. Early impact of fixed orthodontic therapy on gingival health status in relation to weight status. J. Baghdad Coll. Dent. 30(4): 2731.

Almiñana-Pastor, P. J., M. Segarra-Vidal, A. López-Roldán and M. Francisco. 2017. Alpiste-Illueca 3: A controlled clinical study of periodontal health in anticoagulated patients: Assessment of bleeding on probing. J. Clin. Exp. Dent. 9(12): e1431-e1438.

Anhoury, P., D. Nathanson, C. V. Hughes, S. Socransky, M. Feres and L. L. Chou. 2002. Microbial profile on metallic and ceramic bracket materials. Angle Orthod. 72: 338-343.

Bogren, A., R. P. Teles, G. Torresyap, A. D. Haffajee, S. S. Socransky and J. L. Wennström. 2007. Clinical and microbiologic changes associated with the combined use of a powered toothbrush and a triclosan/copolymer dentifrice: A 3-year prospective study. J. Periodontol. 78(9): 1708-1717.

Bollen, A. M., J. Cunha-Cruz, D. W. Bakko, G. J. Huang and P. P. Hujoel. 2008. The effects of orthodontic therapy on periodontal health: A systematic review of controlled evidence. J. Am. Dent. Assoc. 139(4): 413-422.

Demling, A., W. Heuer, C. Elter, T. Heidenblut, F. W. Bach, R. Schwestka-Polly and M. Stiesch-Scholz. 2009. Analysis of supra- and subgingival long-term biofilm formation on orthodontic bands. Eur. J. Orthod. 31: 202-206.

Doi, T., D. Hinode, H. Nakae, M. Yoshioka, M. Matsuyama, H. Iga and Y. Fukushima. 2016. Relationship between chewing behavior and oral conditions in elementary school children based on the “chewing 30” program: An intervention study. J. Dent. Health. 66: 438-444.

Firas, K. I., K. I. Zacaria, A. F. Rabah and L. Hu. 2020. Periodontal parameters in adult patients with clear aligners orthodontics treatment versus three other types of brackets: A cross-sectional study. J. Orthod. Sci. 9: 4.

Gomes, S. C., C. C. Varela and S. L. da Veiga. 2007. Periodontal conditions in subjects following orthodontic therapy. Apreliminary study. Eur. J. Orthod. 29: 477-481.

Hamad, D. K. and B. Abdulla. 2018. Evaluation of salivary nickle, chromuim and iron ions in patients treated with fixed orthodontic appliance in vivo study. EDJ. 1(2): 15.

Humphrey, S. P. and R. T. Williamson. 2001. Areview of saliva: Normal composition, flow, and function. J. Prosthet. Dent. 85: 162-169.

Husse, H. S. R. 2011. Gingival health status and oral hygiene among patients attending health centers aged (20-80) years in Erbil city. Zanco J. Med. Sci. 15(1): 71-79.

Karacaoglu, F., C. Gazioglu, S. Akkaya and M. Akkaya. 2016. Are the effects of fixed orthodontic treatment on gingival health similar in adolescents and young adults? J. Biomed. Sci. 6: 1.

Kitada, K., A. De Toledo and T. Oho. 2009. Increase in detectable opportunistic bacteria in the oral cavity of orthodontic patients. Int. J. Dent. Hyg. 7: 121-125.

Lara-Carrillo, E., N. M. Montiel-Bastida, L. Snchez-Pérez and J. Alans-Tavira. 2010. Changes in the oral environment during four stages of orthodontic treatment. Korean J. Orthod. 40: 95-105.

Löe, H. and Silness, J. 1963. Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol. Scand. 21: 533-551.

Marsh, P., M. Lewis, H. Rogers, D. Williams and M. Wilson. 2017. Oral Microbiology. 6th ed. Churchill Livingstone, United Kingdom.

Mei, L., J. Chieng, C. Wong, G. Benic and M. Farella. 2017. Factors affecting dental biofilm in patients wearing fixed orthodontic appliances. Prog. Orthod. 18: 4.

Mount, G. J. and W. R. Hume. 2005. Preservation and Restoration of Tooth Structure. 2nd ed. Knowledge Books and Software, Queensland.

Nsour, H. F. 2013. Short term effect of fixed orthodontic applaince on the periodontal health. Pak. Oral Dent. J. 33(2): 318-320.

Ramfjord, S. P. 1959. Indices for prevelance and incidence of periodontal disease. J. Periodontal. 30: 51-59.

Ristic, M., M. V. Svabic, M. Sasic and O. Zelic. 2007. Clinical and microbiological effects of fixed orthodontic appliances on periodontal tissues in adolescents. Orthod. Craniofac. Res. 10(4): 187-195.

Silness, J. and Löe, H. 1964. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition Acta Odontol. Scand. 22: 121-135.

Şincar, D.C. and R. Leaţă. 2018. Gingival study of periodontal parameters during orthodontic treatment. Rom. J. Oral Rehabil. 10(2).

Tufekci, E., J. S. Dixon, J. C. Gunsolley and S. J. Lindauer. 2011. Prevalence of white spot lesions during orthodontic treatment with fixed appliances. Angle Orthod. 81(2): 206-210.

, H., M. O. Sayin, F. Y. Bozkurt, Z. Yetkin, S. Kaya and S. Onal. 2005. Archwire ligation techniques, microbial colonization, and periodontal status in orthodontically treated patients. Angle Orthod. 75: 231-236.

Publication Date

6-30-2021

Included in

Life Sciences Commons

Share

COinS