Evaluation and comparison of periodontal and orthodontic parameters in patients managed with periodontally accelerated osteogenic orthodontics versus conventional orthodontic treatment

Abstract

Introduction: Periodontally Accelerated Osteogenic Orthodontics (PAOO) is a clinical procedure which is gaining popularity due to its claims to increase in alveolar bone width, shorter treatment time, increased post treatment stability, and decreased amount of apical root resorption. However, there is paucity of literature available on changes in periodontal and orthodontic parameters following (PAOO).Aims and Objective: The aims of the current study were to evaluate the efficacy of orthodontic treatment with PAOO and compare the treatment duration between the PAOO based fixed orthodontic treatment and the conventional fixed orthodontics in patients with bi-maxillary dentoalveolar protrusion. Materials and Methods: Group A consisted of 12 bimaxillary dentoalveolar protrusion patients who underwent PAOO during orthodontic treatment and Group B consisted of 12 Bimaxillary dentoalveolar protrusion patients who underwent conventional orthodontic treatment without PAOO. Statistical analysis was performed using the Wilcoxon test for a paired group comparison. Pre- and posttreatment measurements of each parameter were averaged (mean – SD), and all tests were performed at the 5% significance level. P values ≥0.05 were regarded as statistically significant. Results: No significant changes were seen in values probing depth, clinical attachment loss, width of keratinized attached gingiva, plaque index and gingival index between the two groups. However, statistically significant difference was seen in the orthodontic treatment duration between the two groups. Conclusion: It can be concluded that PAOO is a safe and reliable procedure which decreases the total orthodontic treatment duration significantly with stable periodontal results as achieved with conventional orthodontic treatment.