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...

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Main Authors: Maria Francesca Sfondrini, Andrea Butera, Pietro Di Michele, Claudia Luccisano, Beatrice Ottini, Enrico Sangalli, Simone Gallo, Maurizio Pascadopoli, Paola Gandini, Andrea Scribante
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
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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.
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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
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