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Orthodontic treatment simultaneous to or after periodontal cause-related treatment in periodontitis susceptible patients.: Part I: Clinical outcome. A randomized clinical trial
Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. Oral health. Department of Orthodontics, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Department of Dental and Oral Pathology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Jönköping University, School of Health and Welfare, HHJ. Oral health. Department of Orthodontics, Institute for Postgraduate Dental Education, Jönköping, Sweden.ORCID iD: 0000-0002-3223-0068
Department of Periodontology, Institute for Postgraduate Dental Education, Jönköping, Sweden.
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2018 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 45, no 2, p. 213-224Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018. Vol. 45, no 2, p. 213-224
Keyword [en]
clinical attachment level, gingival recession, orthodontic treatment, periodontal treatment, periodontitis, pocket depth
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hj:diva-38627DOI: 10.1111/jcpe.12835ISI: 000419830500007PubMedID: 29106749Scopus ID: 2-s2.0-85040336769Local ID: HHJADULTIS, HHJARNIS, HHJOralISOAI: oai:DiVA.org:hj-38627DiVA: diva2:1176536
Available from: 2018-01-22 Created: 2018-01-22 Last updated: 2018-01-22Bibliographically approved

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Zasciurinskiene, EgleLindsten, RuneJansson, Henrik

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HHJ. ADULTHHJ. Oral healthHHJ, Dep. of Natural Science and BiomedicineHHJ. ARN-J (Aging Research Network - Jönköping)
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