Aspects of Treatment of Dentoalveolar Deformities in Patients with Periodontal Disease
DOI:
https://doi.org/10.64124/DMR-2025-3-4-2Abstract
Over the past two decades, there has been a steady increase in demand for orthodontic treatment among both children and adults, primarily driven by patients’ desire to improve facial and smile aesthetics. Particular attention must be paid to the periodontal status of such patients, as the likelihood of periodontal pathology is relatively high. Epidemiological data indicate a significant prevalence of periodontal diseases, with severe forms of periodontitis diagnosed in 8–13% of the population. A clear correlation exists between periodontal disease and dentoalveolar anomalies (crowding, rotations, supra- and infraocclusion, etc.). These deformities complicate oral hygiene, promote plaque accumulation, and impair both aesthetics and functionality. The typical clinical profile of an adult patient with periodontitis often includes protrusion of the upper incisors, as well as the presence of tremas and diastemas.
Aim. To analyze the relationship between periodontal tissue condition and orthodontic anomalies in adults in order to improve their quality of life, and to investigate tissue response to tooth movement and treatment approaches.
Conclusions. It has been established that in patients with proper oral hygiene and healthy periodontal tissues, orthodontic intervention is safe for the alveolar bone. Even in the presence of periodontal disease, provided that hygiene is strictly controlled and moderate forces are applied (within the biological limits described by Schwarz), orthodontic treatment does not provoke exacerbation of inflammatory processes.
References
1. Proffit, W., Fields, H. W. Jr., & Moray, L. J. (2008). Prevalence of malocclusion and orthodontic treatment need in the United States: estimates from the NHANES-III survey. Int J Adult Orthod Orthognath Surg, 13, 97–106. PMID: 9743642.
2. Proffit, W. (2000). Special considerations in comprehensive treatment for adults. In: W. Proffit & H.W. Fields (Ed.). Contemporary orthodontics. 3rd ed. St. Louis: Mosby.
3. Carvalho, C.V., Saraiva, L., Bauer, F. P. F., et al. (2018). Orthodontic treatment in patients with aggressive periodontitis. Am J Orthod Dentofac Orthop, 153(4), 550–557. DOI: https://doi.org/10.1016/j.ajodo.2017.08.018.
4. Zasčiurinskienė, E., Basevičienė, N., Lindsten, R., et al. (2018). Orthodontic treatment simultaneous to or after periodontal cause-related treatment in periodontitis susceptible patients. Part I: Clinical outcome. A randomized clinical trial. J Clin Periodontol, 45(2), 213–224. DOI: https://doi.org/10.1111/jcpe.12835.
5. Cárcamo-España, V., Cuesta Reyes N., Flores-Saldivar, P., et al. (2022). Compromised Teeth Preserve or Extract: A Review of the Literature. J Clin Med, 8, 11(18), 5301. DOI: https://doi.org/10.3390/jcm11185301.
6. Moeini, N., Sabri, H., Galindo-Fernandez, P., et al. (2023). Periodontal status following orthodontic mini-screw insertion: A prospective clinical split-mouth study. Clin Exp Dent Res, 9(4), 596–605. DOI: https://doi.org/10.1002/cre2.757.
7. Cao, T., Xu, L., Shi, J., & Zhou, Y. (2015). Combined orthodontic-periodontal treatment in periodontal patients with anteriorly displaced incisors. Am J Orthod Dentofac Orthop, 148(5), 805–813. DOI: https://doi.org/10.1016/j.ajodo.2015.05.026.
8. Jonsson, T., Karlsson, K. O., Ragnarsson, B., & Magnusson, T. E. (2010). Long-term development of malocclusion traits in orthodontically treated and untreated subjects. Am J Orthod Dentofac Orthop, 138(3), 277–284. DOI: https://doi.org/10.1016/j.ajodo.2009.08.027.
9. Kirschneck, C., Fanghänel, J., Wahlmann, U., et al. (2017). Interactive effects of periodontitis and orthodontic tooth movement on dental root resorption, tooth movement velocity and alveolar bone loss in a rat model. Ann Anat, 210, 32–43. DOI: https://doi.org/10.1016/j.aanat.2016.10.004.
10. Dersot, J. M. (2012). Gingival recession and adult orthodontics: a clinical evidence-based treatment proposal. Int Orthod, 10(1), 29–42 [in English, French]. DOI: https://doi.org/10.1016/j.ortho.2011.09.013.
11. Grenga, C., Guarnieri, R., Grenga, V., et al. (2021). Periodontal evaluation of palatally impacted maxillary canines treated by closed approach with ultrasonic surgery and orthodontic treatment: a retrospective pilot study. Sci Rep, 2, 11(1), 2843. DOI: https://doi.org/10.1038/s41598-021-82510-y.
12. Owman-Moll, P., & Kurol, J. (2000). Root resorption after orthodontic treatment in high- and low-risk patients: analysis of allergy as a possible predisposing factor. Eur J Orthod, 22(6), 657–63. DOI: https://doi.org/10.1093/ejo/22.6.657.
13. Levander, E., & Malmgren, O. (1988). Evaluation of the risk of root resorption during orthodontic treatment: a study of upper incisors. Eur J Orthod, 10(1), 30–38. DOI: https://doi.org/10.1093/ejo/10.1.30.
14. W. M. Northway, & J. B. Meade Jr. (1997). Surgically assisted rapid maxillary expansion: a comparison of technique, response, and stability. Angle Orthodontist, 67(4), 309–20. DOI: https://doi.org/10.1043/0003-3219(1997)067<0309:SARMEA>2.3.CO;2.
15. M. Carmen, P. Marcella, C. Giuseppe, & A. Roberto. (2000). Periodontal evaluation in patients undergoing maxillary expansion. J Craniofac Surg, 11(5), 491-4. DOI: https://doi.org/10.1097/00001665-200011050-00009.
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