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Changes in clinical and microbiological parameters of the periodontium during initial stages of orthodontic movement in patients with treated severe periodontitis: A longitudinal site‑level analysis

  • Authors:
    • Horia Calniceanu
    • Stefan-Ioan Stratul
    • Darian Rusu
    • Alexandru Jianu
    • Marius Boariu
    • Luminita Nica
    • Alexandru Ogodescu
    • Laurentiu Sima
    • Sorin Bolintineanu
    • Andrei Anghel
    • Stefan Milicescu
    • Andreea Didilescu
    • Alexandra Roman
    • Petra Surlin
    • Sorina Solomon
    • Mirona Tudor
    • Anne Marie Rauten
  • View Affiliations / Copyright

    Affiliations: Department of Periodontology, ‘Victor Babes’ University of Medicine and Pharmacy, 300041 Timisoara, Romania, Department of Endodontics, ‘Victor Babes’ University of Medicine and Pharmacy, 300041 Timisoara, Romania, Department of Paedodontics, ‘Victor Babes’ University of Medicine and Pharmacy, 300041 Timisoara, Romania, Department of Surgery‑1, ‘Victor Babes’ University of Medicine and Pharmacy, 300041 Timisoara, Romania, Department of Anatomy, ‘Victor Babes’ University of Medicine and Pharmacy, 300041 Timisoara, Romania, Department of Biochemistry, ‘Victor Babes’ University of Medicine and Pharmacy, 300041 Timisoara, Romania, Department of Prosthodontics, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania, Department of Embryology, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania, Department of Periodontology, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, 400000 Cluj‑Napoca, Romania, Department of Periodontology, University of Craiova, 200585 Craiova, Romania, Department of Periodontology, ‘Grigore T. Popa’ University of Medicine and Pharmacy, 700115 Iasi, Romania, Private Practice, Timisoara, Romania, Department of Orthodontics, University of Craiova, 200585 Craiova, Romania
    Copyright: © Calniceanu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 199
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    Published online on: October 14, 2020
       https://doi.org/10.3892/etm.2020.9329
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Abstract

Applying orthodontic braces makes oral hygiene difficult and increases plaque accumulation, frequently resulting in gingival inflammation. In patients with previous severe periodontitis, this inflammation overlaps with the pre‑existing inflammatory challenge and can lead to further progression of periodontal attachment loss. The aim of this study was to assess longitudinal site‑level changes as mirrored by clinical and microbiological parameters during the initial remodeling of alveolar bone and the periodontal ligament, produced as an effect of light orthodontic forces in adult patients with severe periodontal disease that underwent standard (non‑surgical and conventional surgical) periodontal therapy. Thirteen patients with previously treated severe generalized periodontitis were given fixed orthodontic appliances for re‑alignment of teeth misaligned or displaced during the course of periodontitis. Before insertion of orthodontic appliances and at 2, 4, and 6 months of treatment, periodontal clinical parameters were recorded in the same deepest residual pocket of at least 3 mm in each patient. The same pocket was sampled at baseline and after 6 months of orthodontic treatment for the frequency of positive detection of Aggregatibacter actinomycetemcomitans (Aa), Porphyromonas gingivalis (Pg), Prevotella intermedia (Pi), Tanerella forsythia (Tf), Treponema denticola (Td). An average reduction in Pocket Depth by 0.2 mm at the end of the assessment period was identified. The only clinical parameter with statistically significant improvement was bleeding on probing. The frequency of detection of Aa, Pg, Pi, and Tf was not significantly different between baseline and 6 months of treatment, while a marginally significant increase of Td was found. There were no significant differences in the clinical parameters or microflora in the initial phase of orthodontic treatment in patients with reduced periodontal support. By correlating clinical and microbiological data, we concluded that the presence of periopathogens do not negatively influence periodontal health during orthodontic treatment in adult patients treated for severe periodontitis.
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Copy and paste a formatted citation
Spandidos Publications style
Calniceanu H, Stratul S, Rusu D, Jianu A, Boariu M, Nica L, Ogodescu A, Sima L, Bolintineanu S, Anghel A, Anghel A, et al: Changes in clinical and microbiological parameters of the periodontium during initial stages of orthodontic movement in patients with treated severe periodontitis: A longitudinal site‑level analysis. Exp Ther Med 20: 199, 2020.
APA
Calniceanu, H., Stratul, S., Rusu, D., Jianu, A., Boariu, M., Nica, L. ... Rauten, A.M. (2020). Changes in clinical and microbiological parameters of the periodontium during initial stages of orthodontic movement in patients with treated severe periodontitis: A longitudinal site‑level analysis. Experimental and Therapeutic Medicine, 20, 199. https://doi.org/10.3892/etm.2020.9329
MLA
Calniceanu, H., Stratul, S., Rusu, D., Jianu, A., Boariu, M., Nica, L., Ogodescu, A., Sima, L., Bolintineanu, S., Anghel, A., Milicescu, S., Didilescu, A., Roman, A., Surlin, P., Solomon, S., Tudor, M., Rauten, A. M."Changes in clinical and microbiological parameters of the periodontium during initial stages of orthodontic movement in patients with treated severe periodontitis: A longitudinal site‑level analysis". Experimental and Therapeutic Medicine 20.6 (2020): 199.
Chicago
Calniceanu, H., Stratul, S., Rusu, D., Jianu, A., Boariu, M., Nica, L., Ogodescu, A., Sima, L., Bolintineanu, S., Anghel, A., Milicescu, S., Didilescu, A., Roman, A., Surlin, P., Solomon, S., Tudor, M., Rauten, A. M."Changes in clinical and microbiological parameters of the periodontium during initial stages of orthodontic movement in patients with treated severe periodontitis: A longitudinal site‑level analysis". Experimental and Therapeutic Medicine 20, no. 6 (2020): 199. https://doi.org/10.3892/etm.2020.9329
Copy and paste a formatted citation
x
Spandidos Publications style
Calniceanu H, Stratul S, Rusu D, Jianu A, Boariu M, Nica L, Ogodescu A, Sima L, Bolintineanu S, Anghel A, Anghel A, et al: Changes in clinical and microbiological parameters of the periodontium during initial stages of orthodontic movement in patients with treated severe periodontitis: A longitudinal site‑level analysis. Exp Ther Med 20: 199, 2020.
APA
Calniceanu, H., Stratul, S., Rusu, D., Jianu, A., Boariu, M., Nica, L. ... Rauten, A.M. (2020). Changes in clinical and microbiological parameters of the periodontium during initial stages of orthodontic movement in patients with treated severe periodontitis: A longitudinal site‑level analysis. Experimental and Therapeutic Medicine, 20, 199. https://doi.org/10.3892/etm.2020.9329
MLA
Calniceanu, H., Stratul, S., Rusu, D., Jianu, A., Boariu, M., Nica, L., Ogodescu, A., Sima, L., Bolintineanu, S., Anghel, A., Milicescu, S., Didilescu, A., Roman, A., Surlin, P., Solomon, S., Tudor, M., Rauten, A. M."Changes in clinical and microbiological parameters of the periodontium during initial stages of orthodontic movement in patients with treated severe periodontitis: A longitudinal site‑level analysis". Experimental and Therapeutic Medicine 20.6 (2020): 199.
Chicago
Calniceanu, H., Stratul, S., Rusu, D., Jianu, A., Boariu, M., Nica, L., Ogodescu, A., Sima, L., Bolintineanu, S., Anghel, A., Milicescu, S., Didilescu, A., Roman, A., Surlin, P., Solomon, S., Tudor, M., Rauten, A. M."Changes in clinical and microbiological parameters of the periodontium during initial stages of orthodontic movement in patients with treated severe periodontitis: A longitudinal site‑level analysis". Experimental and Therapeutic Medicine 20, no. 6 (2020): 199. https://doi.org/10.3892/etm.2020.9329
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