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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

Artikel i vetenskaplig tidskrift
Författare E. Zasciurinskiene
N. Baseviciene
R. Lindsten
Christer Slotte
H. Jansson
K. Bjerklin
Publicerad i Journal of Clinical Periodontology
Volym 45
Nummer/häfte 2
Sidor 213-224
ISSN 0303-6979
Publiceringsår 2018
Publicerad vid Institutionen för kliniska vetenskaper, Avdelningen för biomaterialvetenskap
Sidor 213-224
Språk en
Länkar doi.org/10.1111/jcpe.12835
Ämnesord clinical attachment level, gingival recession, orthodontic treatment, periodontal treatment, infrabony defects, tooth movement, 4 modalities, adult, intrusion, therapy, disease, reconstruction, attachment, incisors
Ämneskategorier Biomaterialvetenskap, Kirurgisk forskning

Sammanfattning

AimTo compare two treatment strategies regarding the effect of orthodontic treatment on periodontal status in patients with plaque-induced periodontitis. Subjects and MethodsThis 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. ResultsNo 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 4-6mm 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 2mm. Total periodontal-orthodontic treatment duration was significantly longer for the control group (p<.01). ConclusionsBoth groups showed a gain of CAL and a reduction in sites with PD 4mm. Orthodontic treatment, simultaneously to the periodontal treatment, could be used in the routine treatment of patients with plaque-induced periodontitis.

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