The relationship between orthodontic treatment and periodontitis: an analysis from clinical trials to biological experiments
Increasing numbers of adult patients are seeking orthodontic treatment, which increases the need for or⁃ thodontists to treat malocclusion in periodontally compromised teeth affected by periodontitis. It is essential to control active inflammation prior to initiating an orthodontic protocol to avoi...
| Main Authors: | , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases
2018-05-01
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| Series: | 口腔疾病防治 |
| Subjects: | |
| Online Access: | http://www.kqjbfz.com/EN/10.12016/j.issn.2096-1456.2018.05.002 |
| _version_ | 1818441933254557696 |
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| author | YANG Yanqi LI Minjie |
| author_facet | YANG Yanqi LI Minjie |
| author_sort | YANG Yanqi |
| collection | DOAJ |
| description | Increasing numbers of adult patients are seeking orthodontic treatment, which increases the need for or⁃
thodontists to treat malocclusion in periodontally compromised teeth affected by periodontitis. It is essential to control active inflammation prior to initiating an orthodontic protocol to avoid further breakdown of alveolar bone caused by
periodontitis. However, whether the condition of periodontal ligaments can completely recover to a normal condition af⁃
ter controlling inflammation and tolerate orthodontic tooth movement remains controversial. The present review elabo⁃
rates, from clinical trials (macroscopic) to biological tests (microscopic), the characteristics of periodontal tissue and
periodontal ligament cells with a history of periodontitis that are submitted to orthodontic force loading. The following
conclusions are made: 1. Orthodontic treatment in periodontally compromised patients is unusual because of changes in
periodontal condition. 2. The combination of orthodontic force loading and uncontrolled periodontal inflammation aggra⁃
vates pathological bone resorption; therefore, it is crucial to perform periodontal therapy prior to orthodontic treatment.
3. The periodontal ligament can withstand proper mechanical force loading after periodontal treatment. 4. Orthodontic
treatment, as an adjunctive therapy, can improve periodontally compromised tissue and pathological tooth movement. |
| first_indexed | 2024-12-14T18:36:07Z |
| format | Article |
| id | doaj.art-717201867b5c4ce7a11aebd108631b89 |
| institution | Directory Open Access Journal |
| issn | 2096-1456 2096-1456 |
| language | zho |
| last_indexed | 2024-12-14T18:36:07Z |
| publishDate | 2018-05-01 |
| publisher | Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases |
| record_format | Article |
| series | 口腔疾病防治 |
| spelling | doaj.art-717201867b5c4ce7a11aebd108631b892022-12-21T22:51:37ZzhoEditorial Department of Journal of Prevention and Treatment for Stomatological Diseases口腔疾病防治2096-14562096-14562018-05-0126528128710.12016/j.issn.2096⁃1456.2018.05.002The relationship between orthodontic treatment and periodontitis: an analysis from clinical trials to biological experimentsYANG Yanqi0 LI Minjie1 Department of Orthodontics, Faculty of Dentistry, The University of Hong Kong1.Department of Orthodontics, Faculty of Dentistry, The University of Hong Kong 2.Stomatological Hospital, Southern Medical UniversityIncreasing numbers of adult patients are seeking orthodontic treatment, which increases the need for or⁃ thodontists to treat malocclusion in periodontally compromised teeth affected by periodontitis. It is essential to control active inflammation prior to initiating an orthodontic protocol to avoid further breakdown of alveolar bone caused by periodontitis. However, whether the condition of periodontal ligaments can completely recover to a normal condition af⁃ ter controlling inflammation and tolerate orthodontic tooth movement remains controversial. The present review elabo⁃ rates, from clinical trials (macroscopic) to biological tests (microscopic), the characteristics of periodontal tissue and periodontal ligament cells with a history of periodontitis that are submitted to orthodontic force loading. The following conclusions are made: 1. Orthodontic treatment in periodontally compromised patients is unusual because of changes in periodontal condition. 2. The combination of orthodontic force loading and uncontrolled periodontal inflammation aggra⁃ vates pathological bone resorption; therefore, it is crucial to perform periodontal therapy prior to orthodontic treatment. 3. The periodontal ligament can withstand proper mechanical force loading after periodontal treatment. 4. Orthodontic treatment, as an adjunctive therapy, can improve periodontally compromised tissue and pathological tooth movement.http://www.kqjbfz.com/EN/10.12016/j.issn.2096-1456.2018.05.002Adult orthodontic treatmenPeriodontitisPeriodontal ligamentInflammation controlBiologi⁃ cal response |
| spellingShingle | YANG Yanqi LI Minjie The relationship between orthodontic treatment and periodontitis: an analysis from clinical trials to biological experiments 口腔疾病防治 Adult orthodontic treatmen Periodontitis Periodontal ligament Inflammation control Biologi⁃ cal response |
| title | The relationship between orthodontic treatment and periodontitis: an analysis from clinical trials to biological experiments |
| title_full | The relationship between orthodontic treatment and periodontitis: an analysis from clinical trials to biological experiments |
| title_fullStr | The relationship between orthodontic treatment and periodontitis: an analysis from clinical trials to biological experiments |
| title_full_unstemmed | The relationship between orthodontic treatment and periodontitis: an analysis from clinical trials to biological experiments |
| title_short | The relationship between orthodontic treatment and periodontitis: an analysis from clinical trials to biological experiments |
| title_sort | relationship between orthodontic treatment and periodontitis an analysis from clinical trials to biological experiments |
| topic | Adult orthodontic treatmen Periodontitis Periodontal ligament Inflammation control Biologi⁃ cal response |
| url | http://www.kqjbfz.com/EN/10.12016/j.issn.2096-1456.2018.05.002 |
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