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A comparative study of combined periodontal and orthodontic treatment with fixed appliances and clear aligners in patients with periodontitis

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Purpose: With the increasing prevalence of orthodontic treatment in adults, clear alignertreatments are becoming more popular. The aim of this study was to evaluate the effect oforthodontic treatment on periodontal tissue and to compare orthodontic treatment withfixed appliances (FA) to clear aligner treatment (CAT) in periodontitis patients. Methods: A total of 35 patients who underwent orthodontic treatment in the Departmentof Periodontology were included in this study. After periodontal treatment with meticulousoral hygiene education, patients underwent treatment with FA or CAT, and this study analyzedpatient outcomes depending on the treatment strategy. Clinical parameters were assessedat baseline and after orthodontic treatment, and the duration of treatment wascompared between these two groups. Results: The overall plaque index, the gingival index, and probing depth improved afterorthodontic treatment (P<0.01). The overall bone level also improved (P=0.045). However,the bone level changes in the FA and CAT groups were not significantly different. Significantdifferences were found between the FA and CAT groups in probing depth, change inprobing depth, and duration of treatment (P<0.05). However, no significant differenceswere found between the FA and CAT groups regarding the plaque index, changes in theplaque index, the gingival index, changes in the gingival index, or changes in the alveolarbone level. The percentage of females in the CAT group (88%) was significantly greaterthan in the FA group (37%) (P<0.01). Conclusions: After orthodontic treatment, clinical parameters were improved in the FA andCAT groups with meticulous oral hygiene education and plaque control. Regarding plaqueindex and gingival index, no significant differences were found between these two groups. We suggest that combined periodontal and orthodontic treatment can improve patients’periodontal health irrespective of orthodontic techniques.

Abstract

Purpose: With the increasing prevalence of orthodontic treatment in adults, clear alignertreatments are becoming more popular. The aim of this study was to evaluate the effect oforthodontic treatment on periodontal tissue and to compare orthodontic treatment withfixed appliances (FA) to clear aligner treatment (CAT) in periodontitis patients. Methods: A total of 35 patients who underwent orthodontic treatment in the Departmentof Periodontology were included in this study. After periodontal treatment with meticulousoral hygiene education, patients underwent treatment with FA or CAT, and this study analyzedpatient outcomes depending on the treatment strategy. Clinical parameters were assessedat baseline and after orthodontic treatment, and the duration of treatment wascompared between these two groups. Results: The overall plaque index, the gingival index, and probing depth improved afterorthodontic treatment (P<0.01). The overall bone level also improved (P=0.045). However,the bone level changes in the FA and CAT groups were not significantly different. Significantdifferences were found between the FA and CAT groups in probing depth, change inprobing depth, and duration of treatment (P<0.05). However, no significant differenceswere found between the FA and CAT groups regarding the plaque index, changes in theplaque index, the gingival index, changes in the gingival index, or changes in the alveolarbone level. The percentage of females in the CAT group (88%) was significantly greaterthan in the FA group (37%) (P<0.01). Conclusions: After orthodontic treatment, clinical parameters were improved in the FA andCAT groups with meticulous oral hygiene education and plaque control. Regarding plaqueindex and gingival index, no significant differences were found between these two groups. We suggest that combined periodontal and orthodontic treatment can improve patients’periodontal health irrespective of orthodontic techniques.

참고문헌 (40)

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