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J Clin Periodontol. 2018 Feb;45(2):213-224. doi: 10.1111/jcpe.12835. Epub 2017 Dec 11.

Orthodontic treatment simultaneous to or after periodontal cause-related treatment in periodontitis susceptible patients. Part I: Clinical outcome. A randomized clinical trial.

Author information

1
Department of Orthodontics, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
2
Centre For Oral Health, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
3
Department of Dental and Oral Pathology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
4
Department of Orthodontics, Institute for Postgraduate Dental Education, Jönköping, Sweden.
5
Department of Periodontology, Institute for Postgraduate Dental Education, Jönköping, Sweden.
6
Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.

Abstract

AIM:

To compare two treatment strategies regarding the effect of orthodontic treatment on periodontal status in patients with plaque-induced periodontitis.

SUBJECTS AND METHODS:

This was a randomized clinical trial. Fifty periodontal patients were randomly assigned to the test or control groups according to periodontal treatment timing. All patients received supra- and subgingival debridement following baseline examination. Control group patients received cause-related periodontal treatment before the start of orthodontic treatment and which was performed simultaneous to orthodontic treatment for the test group patients.

RESULTS:

No difference between the test and control groups was found regarding change of clinical attachment level (CAL) after periodontal-orthodontic treatment. Fewer sites with initial pocket depth (PD) of 4-6 mm healed after periodontal-orthodontic treatment in the test group (20.5%, IQR = 11.9%) in comparison with controls (30.4%, IQR = 27.1%) (p = .03). Anterior teeth [OR 2.5] and teeth in male patients [OR 1.6] had a greater chance for PD improvement ≥2 mm. Total periodontal-orthodontic treatment duration was significantly longer for the control group (p < .01).

CONCLUSIONS:

Both groups showed a gain of CAL and a reduction in sites with PD ≥ 4 mm. Orthodontic treatment, simultaneously to the periodontal treatment, could be used in the routine treatment of patients with plaque-induced periodontitis.

KEYWORDS:

clinical attachment level; gingival recession; orthodontic treatment; periodontal treatment; periodontitis; pocket depth

PMID:
29106749
DOI:
10.1111/jcpe.12835

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