The Effect of Orthodontic Therapy on Periodontal Health

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DOI: 10.21522/TIJPH.2013.12.04.Art008

Authors : Murukesan S, Kishore Kumar

Abstract:

Orthodontic therapy plays a pivotal role in correcting malocclusions and enhancing dental aesthetics. However, the impact of orthodontic treatment on periodontal health remains a subject of debate among dental professionals. This review aims to provide a comprehensive overview of the effects of orthodontic therapy on periodontal health, highlighting both positive and negative outcomes. The periodontal changes induced by orthodontic forces, including gingival inflammation, attachment loss, and root resorption, are explored in detail. Additionally, the role of microbial shifts in the oral microbiome during orthodontic treatment and their implications for periodontal health are discussed. Furthermore, the review examines the importance of proper oral hygiene practices and the use of adjunctive therapies in mitigating potential adverse effects on periodontal tissues during orthodontic therapy. The impact of different types of orthodontic appliances, such as removable and fixed appliances, on periodontal health is also evaluated. Finally, the review outlines recommendations for clinicians to optimize periodontal health outcomes in orthodontic patients, emphasizing the importance of multidisciplinary collaboration and personalized treatment approaches. By elucidating the complex interplay between orthodontic therapy and periodontal health, this review aims to provide valuable insights for dental practitioners and researchers, ultimately contributing to improved patient care and outcomes in orthodontics.

References:

[1].   Feu, D., 2020, Orthodontic treatment of periodontal patients: challenges and solutions, from planning to retention. Dental Press Journal of Orthodontics, 25(6), 79-116.

[2].   Ristoska, S., Dzipunova, B., Stefanovska, E., Rendzova, V., Radojkova-Nikolovska, V., Evrosimovska, B., 2019, Orthodontic Treatment of a Periodontally - Affected Adult Patient (Case Report). Open Access Macedonian Journal of Medical Sciences, 7(14), 2343-2349.

[3].   Alfuriji, S., Alhazmi, N., Alhamlan, N., Al-Ehaideb, A., Alruwaithi, M., Alkatheeri, N., Geevarghese, A., 2014, The effect of orthodontic therapy on periodontal health: a review of the literature. International Journal of Dentistry, 2014, 585048.

[4].   Singh, G., Batra, P., 2014, The orthodontic periodontal interface: A narrative review. Journal of the International Clinical Dental Research Organization, 6(2), 77-85.

[5].   Preoteasa, C. T., Ionescu, E., Preoteasa, E., 2012, Risks and complications associated with orthodontic treatment. Orthodontics-basic aspects and clinical considerations, 2012, 403-28.

[6].   Talic, N. F., 2011, Adverse effects of orthodontic treatment: A clinical perspective. The Saudi Dental Journal, 23(2), 55-9.

[7].   Tripuwabhrut, P., Brudvik, P., Fristad, I., Rethnam, S., 2010, Experimental orthodontic tooth movement and extensive root resorption: periodontal and pulpal changes. European Journal of Oral Sciences, 118(6), 596-603.

[8].   Crescini, A., Nieri, M., Buti, J., Baccetti, T., Pini Prato, G. P., 2007, Orthodontic and periodontal outcomes of treated impacted maxillary canines: An appraisal of prognostic factors. The Angle Orthodontist, 77(4), 571-577.

[9].   Gorbunkova, A., Pagni, G., Brizhak, A., Farronato, G., Rasperini, G., 2016, Impact of Orthodontic Treatment on Periodontal Tissues: A Narrative Review of Multidisciplinary Literature. International Journal of Dentistry, 2016, 4723589.

[10].  Li, Y., Jacox, L. A., Little, S. H., Ko, C. C., 2018, Orthodontic tooth movement: The biology and clinical implications. The Kaohsiung Journal of Medical Sciences, 34(4), 207-214.

[11].  Vinod, K., Reddy, Y. G., Reddy, V. P., Nandan, H., Sharma, M., 2012, Orthodontic-periodontics interdisciplinary approach. Journal of Indian Society of Periodontology, 16(1), 11-15.

[12].  Zanatta, F. B., Ardenghi, T. M., Antoniazzi, R. P., Pinto, T. M. P., Rösing, C. K., 2012, Association between gingival bleeding and gingival enlargement and oral health-related quality of life (OHRQoL) of subjects under fixed orthodontic treatment: a cross-sectional study. BMC Oral Health, 12(1), Article 53.

[13].  Cardoso, M. de A., Saraiva, P. P., Maltagliati, L. Á., Rhoden, F. K., Costa, C. C., Normando, D., Capelozza Filho, L., 2015, Alterations in plaque accumulation and gingival inflammation promoted by treatment with self-ligating and conventional orthodontic brackets. Dental Press Journal of Orthodontics, 20(2), 35-41.

[14].  Meeran, N. A., 2013, Iatrogenic possibilities of orthodontic treatment and modalities of prevention. Journal of Orthodontic Science, 2(3), 73-86.

[15].  Wise, G. E., King, G. J., 2008, Mechanisms of tooth eruption and orthodontic tooth movement. Journal of Dental Research, 87(5), 414-434.

[16].  Jeon, H. H., Teixeira, H., Tsai, A., 2021, Mechanistic Insight into Orthodontic Tooth Movement Based on Animal Studies: A Critical Review. Journal of Clinical Medicine, 10(8), Article 1733.

[17].  Li, Y., Zhan, Q., Bao, M., Yi, J., Li, Y., 2021, Biomechanical and biological responses of periodontium in orthodontic tooth movement: up-date in a new decade. International Journal of Oral Science, 13(1), Article 20.

[18].  Antoun, J. S., Mei, L., Gibbs, K., Farella, M., 2017, Effect of orthodontic treatment on the periodontal tissues. Periodontology 2000, 74(1), 140-157.

[19].  Shekar, S., Bhagyalakshmi, A., Chandrashekar, B. R., Avinash, B. S., 2017, Periodontal considerations during orthodontic treatment. Indian Journal of Oral Health and Research, 3(1), 1-7.

[20].  Kanarakis, I., Sandu, D., Solomon, S. M., Pasarin, L., Sufaru, I. G., Martu, M. A., Sioustis, I. A., Kappenberg-Nitescu, D. C., Luchian, I., 2021, Contemporary aspects regarding the etiology of gingival recessions. Romanian Journal of Oral Rehabilitation, 13, 78-86.

[21].  Vu, H. V., Melnick, P. R., 2016, Orthodontic complications and the periodontal aspects related to clinical orthodontics. Avoiding and Treating Dental Complications: Best Practices in Dentistry, 202-236.

[22].  Heboyan, A., Avetisyan, A., Karobari, M. I., Marya, A., Khurshid, Z., Rokaya, D., Zafar, M. S., Fernandes, G. V., 2022, Tooth root resorption: A review. Science Progress, 105(3), 00368504221109217.

[23].  Brezniak, N., Wasserstein, A., 2002, Orthodontically induced inflammatory root resorption. Part II: The clinical aspects. The Angle Orthodontist, 72(2), 180-184.

[24].  Ng, C. L., The extent of orthodontically induced inflammatory root resorption following transverse and vertical jiggling movement with heavy forces for 12 weeks: A micro-CT study (Doctoral dissertation).

[25].  Kim, Y. K., Kwon, E. Y., Cho, Y. J., Lee, J. Y., Kim, S. J., Choi, J., 2014, Changes in the vertical position of interdental papillae and interseptal bone following the approximation of anterior teeth. International Journal of Periodontics & Restorative Dentistry, 34(2), 219-224.

[26].  Yu, J. H., Nguyen, T., Kim, Y. I., Hwang, S., Kim, K. H., Chung, C. J., 2022, Morphologic changes of the incisive canal and its proximity to maxillary incisor roots after anterior tooth movement. American Journal of Orthodontics and Dentofacial Orthopedics, 161(3), 396-403.

[27].  Sebbar, M., Abidine, Z., Laslami, N., Bentahar, Z., 2015, Periodontal health and orthodontics. Emerging Trends in Oral Health Sciences and Dentistry, IntechOpen.

[28].  Krishnan, V., Davidovitch, Z. E., 2006, Cellular, molecular, and tissue-level reactions to orthodontic force. American Journal of Orthodontics and Dentofacial Orthopedics, 129(4), 469-e1.

[29].  Binderman, I., Gadban, N., Yaffe, A., 2021, The effects of mechanical loading on hard and soft tissues and cells. Biological Mechanisms of Tooth Movement, 68-76.

[30].  Wazwaz, F., Investigations Into Orthodontic Tooth Movement Rate (Doctoral dissertation, King's College London).

[31].  Melsen, B., Cattaneo, P. M., Dalstra, M., Kraft, D. C., 2007, The importance of force levels in relation to tooth movement. Seminars in Orthodontics, 13(4), 220-233.

[32].  Hinz, B., 2013, Matrix mechanics and regulation of the fibroblast phenotype. Periodontology 2000, 63(1), 14-28.

[33].  Lekic, P., McCulloch, C. A., 1996, Periodontal ligament cell populations: the central role of fibroblasts in creating a unique tissue. The Anatomical Record, 245(2), 327-341.

[34].  Yamaguchi, M., Garlet, G. P., 2015, The role of inflammation in defining the type and pattern of tissue response in orthodontic tooth movement. Biological Mechanisms of Tooth Movement: Second Edition, 121-137.

[35].  Nugraha, A. P., Khoswanto, C., Kriswandini, I. L., The involvement of damage-associated molecular patterns and resolution-associated molecular patterns in alveolar bone remodeling during orthodontic tooth movement: Narrative review. Teikyo Medical Journal, 45(1), 3799-3808.

[36].  Kishore, S., Barai, V., Siva, S., Venkatesan, K., Orthodontic-Periodontics: An Interdisciplinary Approach [Internet]. https://www.intechopen.com/chapters/77211

[37].  Guo, R., Yu, Q., Lin, Y., Li, J., Huang, Y., Li, W., 2022, Pulp blood flow changes in maxillary and mandibular anterior teeth after orthodontic retraction: a prospective study. BMC Oral Health, 22(1), 508.

[38].  Caviedes-Bucheli, J., Moreno, J. O., Aranguren-Carrero, M., Buitrago-Rojas, S., Lopez-Matheus, R., Martinez-Corredor, G., Díaz-Barrera, L. E., Muñoz-Alvear, H. D., Gomez-Sosa, J. F., Munoz, H. R., 2022, The effect of orthodontic forces on calcitonin gene-related peptide (CGRP) expression in the human periodontal ligament and its relationship with the human dental pulp. Journal of Clinical and Experimental Dentistry, 14(11), e932.

[39].  Meikle, M. C., 2006, The tissue, cellular, and molecular regulation of orthodontic tooth movement: 100 years after Carl Sandstedt. The European Journal of Orthodontics, 28(3), 221-240.

[40].  Denes, B. J., Ait-Lounis, A., Wehrle-Haller, B., Kiliaridis, S., 2020, Core matrisome protein signature during periodontal ligament maturation from pre-occlusal eruption to occlusal function. Frontiers in Physiology, 11, 174.