Orthodontic treatment in patients with aggressive periodontitis

Publication date: April 2018
Source:American Journal of Orthodontics and Dentofacial Orthopedics, Volume 153, Issue 4
Author(s): Cássio Volponi Carvalho, Luciana Saraiva, Flávio Paim Falcão Bauer, Rui Yoshio Kimura, Maria Luisa Silveira Souto, Carlos Cheque Bernardo, Cláudio Mendes Pannuti, Giuseppe Alexandre Romito, Francisco Emílio Pustiglioni
IntroductionAggressive periodontitis (AP) is a condition that promotes breakdown of the periodontal tissues in a short time. In severe cases, pathologic migration of teeth and tooth loss can occur, producing esthetic and functional problems for the patient. Orthodontic treatment may be recommended to restore esthetics and masticatory function. We assessed the effects of orthodontic movement in the periodontal tissues of treated patients with AP.MethodsTen subjects (ages 25.0 ± 5.22 years) with AP received periodontal treatment followed by orthodontic treatment. Maintenance sessions were performed monthly under a strict dental biofilm control. They were compared with 10 periodontally healthy subjects (ages 22.9 ± 5.23 years) who received orthodontic treatment. Probing pocket depth, clinical attachment level, bleeding on probing, and dental plaque index were measured at baseline, after orthodontic treatment, and after 4 months.ResultsStatistical analysis showed improvement in all clinical parameters between baseline and 4 months after orthodontic treatment: probing pocket depth (0.29 mm), clinical attachment level (0.38 mm), bleeding on probing (4.0%), and dental plaque index (11%).ConclusionsThe periodontal parameters of the AP patients remained stable during orthodontic treatment under strict biofilm control.



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