The impact of orthodontic treatment on stage III / grade C periodontitis: a systematic review

Abstract

Introduction – Aggressive periodontitis evolve rapidly to sever periodontal destruction, which involves a multidisciplinary treatment for handling the periodontal infection, reconstructing defects and realigning migrated teeth. Orthodontic treatment improves on all aspects of periodontal health including aesthetic, teeth function, and oral hygiene, therefore preventing degeneration. This systematic review intends to focus on the effect of orthodontic treatment on the evolution of an aggressive periodontitis. The clinical parameters are pocket depth, decrease in inflammation, attachment gain, index of dental plaque and bone gain. Materials and Methods - This research is based on the analysis of four bibliographic databases which include PubMed, EBSCO, Science Direct and Cochrane Library. Several search equations are used and the keywords are orthodontic treatment, aggressive periodontitis, migrated teeth, combination treatment. Pertinent studies with comparison of periodontal condition before and after orthodontic treatment are selected. Several analytic parameters are used and tabulated. Results – Two hundred and seventy-one (271) studies were found and only four (04) are selected due to inclusion criteria. The analysis shows significant improvement of all clinical parameters. Conclusion – Despite the fact that clinical parameters were improved after an orthodontic treatment, the results are irrelevant because of the insufficient studies with arguable statistical findings.