Hadzic Sanja, Gojkov-Vukelic Mirjana, Pasic Enes, Jahic Indira Mujic, Muharemovic Arma, Redzepagic-Vrazalica Lejla, Jeleskovic Azra, Nakas Enita
Department of Oral Medicine and Periodontology, Faculty of Dentistry, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
Department of Orthodontics, the Faculty of Dentistry with Clinics, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
Mater Sociomed. 2022 Jun;34(2):121-125. doi: 10.5455/msm.2022.34.121-125.
Periodontal complications are one of the common side effects associated with orthodontic therapy.
This study aimed to evaluate the periodontal changes in patients before, during, and after the therapy with a fixed orthodontic appliance.
Out of 38 healthy adolescents with permanent dentition who were indicated for fixed orthodontic therapy were included in this study. Patients were selected from Class I, treated by non-extraction methods, by using conventional orthodontic braces. After their examination and treatment by an orthodontist, the patients were referred to the periodontist before the placement of a fixed orthodontic appliance. The patients underwent the application of a periodontal anamnestic-diagnostic protocol, and the clinical-radiological evaluation. After a fixed orthodontic appliance was placed, the respondents were referred to the periodontist for regular mandatory check-ups, initially, after three months, and later on-after 6 months, after 1 year and after 2 years until the end of orthodontic therapy.
An increase in the mean value of the Plaque Index and Sulcus Bleeding Index was found at each check-up after the placement of a fixed orthodontic appliance. There is a statistically significant difference in the presence of gingival hyperplasia found by monitoring the changes after three and six months, and after one and two years following the start of orthodontic therapy.
The assessment of periodontal changes in patients before, during and after the completion of fixed orthodontic therapy revealed that there is a strong need for mutual and close cooperation between orthodontist and periodontist during orthodontic therapy.
牙周并发症是正畸治疗常见的副作用之一。
本研究旨在评估固定正畸矫治器治疗前、治疗期间及治疗后患者的牙周变化。
本研究纳入了38名需要进行固定正畸治疗的恒牙列健康青少年。患者均为I类错颌，采用非拔牙方法，使用传统正畸矫治器进行治疗。经正畸医生检查和治疗后，患者在佩戴固定正畸矫治器前被转诊至牙周科医生处。患者接受了牙周既往诊断方案及临床影像学评估。佩戴固定正畸矫治器后，患者最初在三个月后被转诊至牙周科医生处进行定期强制检查，随后在6个月、1年及2年后直至正畸治疗结束时也需进行检查。
佩戴固定正畸矫治器后的每次检查中，菌斑指数和龈沟出血指数的平均值均有所增加。通过监测正畸治疗开始后三个月、六个月、一年及两年后的变化发现，牙龈增生的情况存在统计学显著差异。
对固定正畸治疗完成前、治疗期间及治疗后的患者牙周变化评估显示，正畸治疗期间正畸医生与牙周科医生之间非常需要相互密切合作。
