Orthodontic management of periodontally compromised dentition

| Posted in: Science

Journal name: Journal of Indian Society of Periodontology
Original article title: Orthodontic management of dentition in patients with periodontally compromised dentition
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:

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Author:

Mohinder Panwar, B. Jayan, Vimal Arora, Sukhdeep Singh


Journal of Indian Society of Periodontology:

(A bimonthly open-access journal)

Full text available for: Orthodontic management of dentition in patients with periodontally compromised dentition

Year: 2014 | Doi: 10.4103/0972-124X.131325

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

Increasingly, adult patients are pursuing orthodontic treatment to enhance their dental aesthetics. However, particular attention must be given to their periodontal health due to the heightened prevalence of periodontal disease in this demographic, which can lead to significant esthetic and functional concerns, such as the pathological migration of anterior teeth. An interdisciplinary treatment approach, involving both orthodontic and periodontal care, is often vital for achieving optimal clinical outcomes in cases of malaligned and periodontally compromised dentition.

Importance of Interdisciplinary Treatment

The study assessed 20 adults with periodontally compromised and malaligned dentition, focusing on the effectiveness of combined orthodontic and periodontal treatments. Key indices, including the Gingival Index (GI), Periodontal Disease Index (PDI), and Dental Aesthetic Index (DAI), were employed to gauge improvements in periodontal health and dental aesthetics before and after treatment. Results indicated statistically significant differences in all three indices, highlighting that combined treatment not only improved periodontal health but also positively impacted dental esthetics, thereby addressing both functional and cosmetic concerns effectively.

Conclusion

The findings underscore the significant role of interdisciplinary orthodontic and periodontal treatment in improving periodontal health and managing pathological tooth migration. This approach ensures a comprehensive solution to complex clinical scenarios prevalent among adults with periodontal disease. Continued research, including studies with control groups, is recommended to further validate the benefits of orthodontic interventions in patients with existing periodontal issues, ultimately leading to enhanced oral health and improved aesthetics in these individuals.

FAQ section (important questions/answers):

What motivates adults to seek orthodontic treatment according to the study?

The primary motivation for adults seeking orthodontic treatment is to improve their dental appearance. Many adults have co-existing periodontal problems that can lead to functional and aesthetic challenges, making treatment essential.

What were the key findings of the study regarding periodontal health?

The study found statistically significant improvements in periodontal health metrics, including the Gingival Index, Periodontal Disease Index, and Dental Aesthetic Index, indicating the effectiveness of combined orthodontic and periodontal treatment.

What are the inclusion criteria for participants in the study?

Participants included adults with localized or generalized chronic periodontitis, pathologic migration of anterior teeth, and periodontally compromised patients with spaced dentition in either or both arches.

How does orthodontic treatment affect periodontal health in adults?

Orthodontic treatment can positively influence periodontal health by preventing the progression of periodontal disease, especially when performed in conjunction with effective periodontal care.

What is the importance of interdisciplinary treatment in orthodontics and periodontics?

An interdisciplinary approach allows for comprehensive treatment planning, addressing both orthodontic alignment and periodontal health, which is critical for achieving aesthetically pleasing and functionally stable results.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Orthodontic management of periodontally compromised dentition”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Study (Studying):
Study refers to the systematic investigation of a particular subject in order to understand, analyze, or derive conclusions. In the context of this research, it highlights the structured methodology used to evaluate the impact of orthodontic and periodontal treatments on adult patients, enhancing our understanding of dental health and treatment outcomes.

2) Disease:
Disease denotes a pathological condition disrupting normal bodily functions, often resulting from infections, genetic factors, or lifestyle choices. In this research, periodontal disease is a crucial focus, as it affects gum health, tooth stability, and overall dental aesthetics, emphasizing the importance of integrated dental care in adult orthodontics.

3) Inflammation:
Inflammation is the body's natural response to injury or infection, characterized by redness, swelling, and pain. It plays a significant role in periodontal disease, where persistent inflammation can lead to tissue destruction and tooth mobility. Understanding inflammation is essential for effective treatment planning in orthodontic and periodontal care.

4) Table:
Table refers to a systematic arrangement of data in rows and columns for easy reference and comparison. In research contexts, tables often display crucial findings, such as treatment results or statistical analyses, facilitating clearer understanding and communication of outcomes among dental professionals and researchers.

5) Hygiene (Hygienic):
Hygiene encompasses practices that promote health and prevent disease, particularly through cleanliness. In dental care, good oral hygiene is vital for preventing periodontal disease and ensuring successful treatment outcomes. This research underscores the importance of educating patients about hygiene practices during orthodontic treatment.

6) Education:
Education involves imparting knowledge and skills. In the context of this study, it emphasizes the necessity of educating patients about periodontal health and hygiene, which is crucial for maintaining oral health and achieving better outcomes in orthodontic treatments, ultimately improving the quality of care provided.

7) Relative:
Relative denotes a comparison or connection between different entities or situations. In this study, understanding the relative conditions of periodontal issues and orthodontic needs for patients helps in tailoring specific treatment plans, ensuring a comprehensive approach that addresses all aspects of dental health effectively.

8) Desire:
Desire represents a strong feeling of wanting something. In orthodontics, patient desire for improved dental aesthetics often drives the need for treatment. This study highlights how aesthetic considerations are crucial in treatment approaches and the psychological motivations influencing patient decisions for seeking orthodontic care.

9) Male:
Male refers to one of the two primary biological sexes, often studied for demographic purposes within research. In this investigation, noting that 9 out of 20 patients were male highlights the need to consider gender dynamics in dental health outcomes and treatment responses in adult populations.

10) New Delhi:
New Delhi is the capital city of India, known for its cultural and historical significance. The setting of this study in New Delhi indicates the regional context where specific population dental health and treatment approaches may be influenced by local healthcare facilities, socioeconomic factors, and patient demographics.

11) Reliability:
Reliability indicates the consistency and dependability of a measurement or assessment over time. In this research, ensuring reliability in measuring periodontal and dental aesthetic indices is critical for validating results, allowing clinicians to trust the findings and effectively implement strategies for patient care.

12) Observation:
Observation refers to the act of carefully analyzing or monitoring phenomena. In this study, regular observation of patients during treatment phases helps in assessing the efficacy of combined orthodontic and periodontal interventions, allowing for timely adjustments and enhancements in treatment strategies based on real-time findings.

13) Discussion:
Discussion involves analyzing and interpreting research findings within the context of existing knowledge. In this paper, the discussion section addresses results, comparing them to prior studies, and emphasizes the implications for clinical practices in orthodontics and periodontics, fostering a deeper understanding of treatment pathways.

14) Evolution:
Evolution signifies progressive development over time. In dentistry, the concept of evolution highlights how treatment methods for orthodontics and periodontics have advanced, adapting to new research findings, technological innovations, and changing patient demands, particularly regarding aesthetic concerns and interdisciplinary approaches in recent years.

15) Suffering:
Suffering represents the experience of distress or pain, whether physical or emotional. In the context of dental health, it refers to the challenges faced by individuals with periodontal diseases, emphasizing the importance of effective treatment modalities to alleviate pain and improve quality of life for patients.

16) Transformation (Transform, Transforming):
Transform denotes a significant change in form or appearance. In dental contexts, it signifies the process of altering a patient's dental aesthetics and health through orthodontic care, showcasing how effective treatment can rehabilitate dental functions and enhance overall confidence in one's appearance.

17) Dividing:
Dividing refers to the act of separating into parts. In research, it may represent categorizing different treatment modalities or patient conditions. Understanding how to effectively divide treatment approaches among various patient needs is crucial for tailored care and optimizing outcomes within interdisciplinary dental health strategies.

18) Bleeding:
Bleeding is the loss of blood from the body and can be indicative of various health issues, including periodontal disease. In dental health, controlling bleeding is essential during treatment, as it signifies the health of gums, and excessive bleeding may indicate severe inflammation or complications requiring attention.

19) Surface:
Surface refers to the external or uppermost layer of an object. In dentistry, it often pertains to the surfaces of teeth and gums, where assessments are made. Understanding dental surfaces enables better diagnosis and treatment planning, helping address hygiene and aesthetic concerns effectively.

20) Delhi:
Delhi, as a significant metropolitan area, reflects a diverse population with varying dental health needs. The location influences the study by framing the demographic context, healthcare access, and treatment preferences among residents of this bustling city, highlighting the importance of localized healthcare strategies.

21) Edema (Oedema):
Edema refers to swelling caused by excess fluid trapped in the body's tissues. In periodontal health, edema indicates inflammation in the gums; understanding its presence can guide treatment decisions. Monitoring edema is crucial during periodontal evaluations, as it provides insights into the patient's inflammatory status and treatment effectiveness.

22) Sign:
Sign pertains to any objective evidence of disease or condition observable through examination. Signs in periodontal assessments provide critical information about the severity of disease and treatment needs, aiding in proper diagnosis and effective care planning in comprehensive orthodontic and periodontal approaches.

23) Line:
Line may refer to the boundaries or separations in context or structures within dental assessment. In orthodontics, understanding the alignment of dental lines is fundamental for planning treatments, ensuring proper occlusion and function once orthodontic and periodontal therapies have been executed.

24) Post:
Post indicates a position or time after an event. In research documentation, post-treatment assessments evaluate the effectiveness of interventions. In this study, analyzing post-treatment outcomes allows clinicians to judge the success of combined orthodontic and periodontal care in enhancing patient health and aesthetics.

25) Pur:
Poor describes inadequate conditions or substandard quality. In dental health, it often relates to poor oral hygiene or inadequate periodontal health. Recognizing 'poor' conditions catalyzes the need for intervention, emphasizing the necessity for effective and coordinated treatment to improve patient outcomes.

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Discover the significance of concepts within the article: ‘Orthodontic management of periodontally compromised dentition’. Further sources in the context of Science might help you critically compare this page with similair documents:

Interdisciplinary approach, Gingival index, ADULT PATIENTS, Oral hygiene measures, Case management protocol, Functional problems, Occlusal force, Periodontal status.

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