EFFECT OF ORTHODONTIC TREATMENT OF GENERALIZED PERIODONTITIS ON ORAL HYGIENIC STATUS

Abstract

Orthodontic treatment of patients with generalised periodontitis can have a negative impact on the periodontium. Removable orthodontic appliances have a lesser impact on the periodontium. Considering such details of orthodontic treatment for patients with generalized periodontitis, it is critical to start orthodontic treatment as early as possible, when significant manifestations of traumatic occlusion and pronounced displacements of teeth have not developed yet.
 The study aimed to determine the effectiveness of early orthodontic treatment using removable orthodontic appliances in patients with generalized periodontitis and its effect on the hygienic status of the periodontium. The study involved 40 adolescents (18-35 years) with generalized periodontitis who had displaced upper front teeth. Removable orthodontic appliances and individual retainers were used for orthodontic correction, and the patients underwent a comprehensive examination of the periodontium to assess their hygienic indices during the course of treatment.
 The assessment of the periodontal tissues shows that almost all patients had an inflammatory process in their periodontal tissues. Previously, the patients had undergone Phase 1 integrated treatment for generalized periodontitis. One month after the beginning of the orthodontic correction, there was certain deterioration in the periodontal condition. However, following the completion of orthodontic treatment, the hygienic condition of the periodontium improved.
 The study concluded that the combination of periodontal disease and tooth displacement requires comprehensive treatment using orthodontic methods. While the use of orthodontic treatment led to some deterioration in the periodontal condition, appropriate correction of drug treatment and rational oral hygiene practices can compensate for this.