Comparative analysis of dental micromobility at the stages of orthodontic dental protrusion treatment in patients with healthy periodontium and generalized periodontitis of moderate severity

Abstract

BACKGROUND: Literature data revealed that the prevalence of periodontal diseases in all age groups is high, at 90%–95%. The inflammatory processes in the periodontal tissues have a multifactorial nature. The application of a small force while correcting dentofacial anomalies and deformities is necessary to achieve the desired results and to preserve physiological processes in the periodontium in case of bone resorption and alveolar process bone formation at the stages of correction.

AIM: To assess dental mobility dynamics according to periotestometry data in patients with chronic generalized periodontitis of moderate severity and protrusion of the anterior teeth at the stages of orthodontic treatment.

MATERIAL AND METHODS: A total of 70 patients aged 35–44 years with generalized periodontitis of moderate severity, complete dentition, absence of orthopedic structures, and protrusion of incisors without general somatic diseases were examined and treated. Dental micromobility was assessed using the “periotest” apparatus prior to orthodontic treatment, at the stage of eliminating gaps and after removing the bracket system.

RESULTS: The dental micromobility increased after the application of the braces, but in group 2 with generalized periodontitis of moderate severity, it was by 2.67 times higher. Anterior teeth position stabilization lead to a gradual decrease (stabilization) in periotestometry indicators. In group 2 “b” using a low-force traction, this process was more intensive.

CONCLUSION: The dynamics of periotestometry indicators at the stages of orthodontic treatment of dental protrusion in the presence of generalized periodontitis of moderate severity indicates the formation of favorable conditions in the periodontium for the mobility of the teeth using low-force traction.

Keywords

orthodontic correction / dentofacial deformities / periodontitis / dental micromobility / protrusion

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