Microbiological Changes during Orthodontic Aligner Therapy: A Prospective Clinical Trial
The purpose of this study is to assess the variations induced by Clear Aligner Treatment (CAT) on the periodontal status and microbiological composition of oral microbiota. A total of 20 orthodontic patients were submitted to professional oral hygiene and, subsequently, underwent CAT (Group one, tri...
Main Authors: | , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2021-07-01
|
Series: | Applied Sciences |
Subjects: | |
Online Access: | https://www.mdpi.com/2076-3417/11/15/6758 |
_version_ | 1797525836704776192 |
---|---|
author | Maria Francesca Sfondrini Andrea Butera Pietro Di Michele Claudia Luccisano Beatrice Ottini Enrico Sangalli Simone Gallo Maurizio Pascadopoli Paola Gandini Andrea Scribante |
author_facet | Maria Francesca Sfondrini Andrea Butera Pietro Di Michele Claudia Luccisano Beatrice Ottini Enrico Sangalli Simone Gallo Maurizio Pascadopoli Paola Gandini Andrea Scribante |
author_sort | Maria Francesca Sfondrini |
collection | DOAJ |
description | The purpose of this study is to assess the variations induced by Clear Aligner Treatment (CAT) on the periodontal status and microbiological composition of oral microbiota. A total of 20 orthodontic patients were submitted to professional oral hygiene and, subsequently, underwent CAT (Group one, trials). A total of 20 non orthodontic patients (Group two, controls) remained untreated after oral hygiene. At T<sub>0</sub> (baseline) and T<sub>1</sub> (after 2 months), the participants were clinically examined for Probing Pocket Depth (PPD), Bleeding on Probing (BOP) and Plaque Index (PI), and microbiological tests were performed to detect bacteria of the red and orange complexes as well as the presence of <i>Aggregatibacter actinomycetemcomitans</i>. No significant inter- or intra-group differences were shown neither for PPD, PI and BOP (<i>p</i> > 0.05), nor for bacteria expressed in copies/microlitre or in percentages (<i>p</i> > 0.05). The only significant difference was assessed from T<sub>0</sub> (baseline) to T<sub>1</sub> (2 months) in both groups and is related to the total bacteria count increase. However, this parameter encompasses all the bacteria of the common oral microbiota, thus, not representing a significant result from a clinical point of view. Despite the limitations of this study, CAT does not significantly affect periodontal and microbiological parameters with respect to untreated patients for the first two months of therapy. |
first_indexed | 2024-03-10T09:19:39Z |
format | Article |
id | doaj.art-411e65e0d763448bb7e679381b60974d |
institution | Directory Open Access Journal |
issn | 2076-3417 |
language | English |
last_indexed | 2024-03-10T09:19:39Z |
publishDate | 2021-07-01 |
publisher | MDPI AG |
record_format | Article |
series | Applied Sciences |
spelling | doaj.art-411e65e0d763448bb7e679381b60974d2023-11-22T05:19:07ZengMDPI AGApplied Sciences2076-34172021-07-011115675810.3390/app11156758Microbiological Changes during Orthodontic Aligner Therapy: A Prospective Clinical TrialMaria Francesca Sfondrini0Andrea Butera1Pietro Di Michele2Claudia Luccisano3Beatrice Ottini4Enrico Sangalli5Simone Gallo6Maurizio Pascadopoli7Paola Gandini8Andrea Scribante9Unit of Orthodontics and Pediatric Dentistry, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, ItalyUnit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, ItalyUOC di Odontostomatologia e Chirurgia Orale Az. USL di Modena, 41121 Modena, ItalyUOC di Odontostomatologia e Chirurgia Orale Az. USL di Modena, 41121 Modena, ItalyUnit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, ItalyUnit of Orthodontics and Pediatric Dentistry, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, ItalyUnit of Orthodontics and Pediatric Dentistry, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, ItalyUnit of Orthodontics and Pediatric Dentistry, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, ItalyUnit of Orthodontics and Pediatric Dentistry, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, ItalyUnit of Orthodontics and Pediatric Dentistry, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, ItalyThe purpose of this study is to assess the variations induced by Clear Aligner Treatment (CAT) on the periodontal status and microbiological composition of oral microbiota. A total of 20 orthodontic patients were submitted to professional oral hygiene and, subsequently, underwent CAT (Group one, trials). A total of 20 non orthodontic patients (Group two, controls) remained untreated after oral hygiene. At T<sub>0</sub> (baseline) and T<sub>1</sub> (after 2 months), the participants were clinically examined for Probing Pocket Depth (PPD), Bleeding on Probing (BOP) and Plaque Index (PI), and microbiological tests were performed to detect bacteria of the red and orange complexes as well as the presence of <i>Aggregatibacter actinomycetemcomitans</i>. No significant inter- or intra-group differences were shown neither for PPD, PI and BOP (<i>p</i> > 0.05), nor for bacteria expressed in copies/microlitre or in percentages (<i>p</i> > 0.05). The only significant difference was assessed from T<sub>0</sub> (baseline) to T<sub>1</sub> (2 months) in both groups and is related to the total bacteria count increase. However, this parameter encompasses all the bacteria of the common oral microbiota, thus, not representing a significant result from a clinical point of view. Despite the limitations of this study, CAT does not significantly affect periodontal and microbiological parameters with respect to untreated patients for the first two months of therapy.https://www.mdpi.com/2076-3417/11/15/6758clear alignersoral microbiotaoral hygienedentistryorthodonticsArc Angel |
spellingShingle | Maria Francesca Sfondrini Andrea Butera Pietro Di Michele Claudia Luccisano Beatrice Ottini Enrico Sangalli Simone Gallo Maurizio Pascadopoli Paola Gandini Andrea Scribante Microbiological Changes during Orthodontic Aligner Therapy: A Prospective Clinical Trial Applied Sciences clear aligners oral microbiota oral hygiene dentistry orthodontics Arc Angel |
title | Microbiological Changes during Orthodontic Aligner Therapy: A Prospective Clinical Trial |
title_full | Microbiological Changes during Orthodontic Aligner Therapy: A Prospective Clinical Trial |
title_fullStr | Microbiological Changes during Orthodontic Aligner Therapy: A Prospective Clinical Trial |
title_full_unstemmed | Microbiological Changes during Orthodontic Aligner Therapy: A Prospective Clinical Trial |
title_short | Microbiological Changes during Orthodontic Aligner Therapy: A Prospective Clinical Trial |
title_sort | microbiological changes during orthodontic aligner therapy a prospective clinical trial |
topic | clear aligners oral microbiota oral hygiene dentistry orthodontics Arc Angel |
url | https://www.mdpi.com/2076-3417/11/15/6758 |
work_keys_str_mv | AT mariafrancescasfondrini microbiologicalchangesduringorthodonticalignertherapyaprospectiveclinicaltrial AT andreabutera microbiologicalchangesduringorthodonticalignertherapyaprospectiveclinicaltrial AT pietrodimichele microbiologicalchangesduringorthodonticalignertherapyaprospectiveclinicaltrial AT claudialuccisano microbiologicalchangesduringorthodonticalignertherapyaprospectiveclinicaltrial AT beatriceottini microbiologicalchangesduringorthodonticalignertherapyaprospectiveclinicaltrial AT enricosangalli microbiologicalchangesduringorthodonticalignertherapyaprospectiveclinicaltrial AT simonegallo microbiologicalchangesduringorthodonticalignertherapyaprospectiveclinicaltrial AT mauriziopascadopoli microbiologicalchangesduringorthodonticalignertherapyaprospectiveclinicaltrial AT paolagandini microbiologicalchangesduringorthodonticalignertherapyaprospectiveclinicaltrial AT andreascribante microbiologicalchangesduringorthodonticalignertherapyaprospectiveclinicaltrial |