Orthodontic treatment simultaneous to or after periodontal cause‐related treatment in periodontitis susceptible patients. Part I: Clinical outcome. A randomized clinical trial
- 11 December 2017
- journal article
- research article
- Published by Wiley in Journal of Clinical Periodontology
- Vol. 45 (2), 213-224
- https://doi.org/10.1111/jcpe.12835
Abstract
To compare two treatment strategies regarding the effect of orthodontic treatment on periodontal status in patients with plaque-induced periodontitis. 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. 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). 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
This publication has 35 references indexed in Scilit:
- Review of randomized controlled trials: Issues to consider when designing a trialAmerican Journal of Orthodontics and Dentofacial Orthopedics, 2013
- CONSORT 2010 explanation and elaboration: Updated guidelines for reporting parallel group randomised trialsInternational Journal of Surgery, 2012
- A modified orthodontic protocol for advanced periodontal disease in Class II division 1 malocclusionAmerican Journal of Orthodontics and Dentofacial Orthopedics, 2011
- Epidemiologic patterns of chronic and aggressive periodontitisPeriodontology 2000, 2010
- A systematic review of definitions of periodontitis and methods that have been used to identify this diseaseJournal of Clinical Periodontology, 2009
- Design issues specific to studies of periodontitisJournal of Periodontal Research, 1992
- Evaluation of Four Modalities of Periodontal TherapyThe Journal of Periodontology, 1988
- New attachment through periodontal treatment and orthodontic intrusionAmerican Journal of Orthodontics and Dentofacial Orthopedics, 1988
- The effect of orthodontic treatment on periodontal bone support in patients with advanced loss of marginal periodontiumAmerican Journal of Orthodontics and Dentofacial Orthopedics, 1988
- Effect of nonsurgical periodontal therapyJournal of Clinical Periodontology, 1984