Author/Authors :
Khorsand, Afshin Departments of Periodontology - Dental Faculty - Tehran University of Medical Sciences, Tehran , Paknejad, Mojgan Departments of Periodontology - Dental Faculty - Tehran University of Medical Sciences, Tehran , Yaghobee, Siamak Departments of Periodontology and Dental Implant Research Center - Dental Faculty - Tehran University of Medical Sciences, Tehran , Amir Alireza Rasouli Ghahroudi, Amir Alireza Departments of Periodontology and Dental Implant Research Center - Dental Faculty - Tehran University of Medical Sciences, Tehran , Bashizadefakhar, Hourieh Departments of Periodontology - Oral and Maxillofacial Radiology - Dental Faculty - Tehran University of Medical Sciences, Tehran , Khatami, Masoomeh Department of Pediatrics Dentistry - Jondishapour University, Ahvaz , Shirazi, Mohsen Department of Orthodontic - Dental Faculty - Tehran University of Medical Sciences, Tehran
Abstract :
Background: The success of combined periodontal and orthodontic approach in the treatment
of aggressive periodontitis patients with the pathologic extruded anterior teeth is a main concern
and stability of the treatment results is an important factor to evaluate the treatment. The present
study investigated the periodontal parameters at the end of the orthodontic treatment in patients
with the aggressive periodontitis.
Materials and Methods: Eight patients with an aggressive periodontal disease, extruded
maxillary incisors, infrabony defects and probing depth of ≥5 mm were enrolled in this clinical trial
(before, after). After periodontal therapy, orthodontic treatment was carried out for intrusion and
alignment of teeth. Plaque index (PI), probing pocket depth (PPD), distance between incisal edge
and interdental papilla, root length (RL), and defect dimensions (depth and width) were examined
at the end of treatment and three as well as 6 months afterward. The data were subjected to
repeated measure ANOVA test. P < 0.05 was considered as significant.
Results: There was statistically significant decrease in PPD, PI, and depth of the defects during T0,
T3 and T6 (P < 0.05). No significant differences were observed in the RL and distance between incisal
edge and interdental papilla (P = 0.95). Furthermore, width of the defects demonstrated significant
decrease up to T3 (P = 0.042) while no significant changes from 3 months to 6 months were noted
(P = 0.59).
Conclusion: The results showed that combined periodontal and orthodontic approach would be
a successful treatment with acceptable stability in the case of regular follow-up visits and controlled
oral hygiene habits.