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      Periodontal parameters following orthodontic treatment in patients with aggressive periodontitis: A before-after clinical study

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          Abstract

          Background:

          The success of combined periodontal and orthodontic approach in the treatment of aggressive periodontitis patients with the pathologic extruded anterior teeth is a main concern and stability of the treatment results is an important factor to evaluate the treatment. The present study investigated the periodontal parameters at the end of the orthodontic treatment in patients with the aggressive periodontitis.

          Materials and Methods:

          Eight patients with an aggressive periodontal disease, extruded maxillary incisors, infrabony defects and probing depth of ≥5 mm were enrolled in this clinical trial (before, after). After periodontal therapy, orthodontic treatment was carried out for intrusion and alignment of teeth. Plaque index (PI), probing pocket depth (PPD), distance between incisal edge and interdental papilla, root length (RL), and defect dimensions (depth and width) were examined at the end of treatment and three as well as 6 months afterward. The data were subjected to repeated measure ANOVA test. P < 0.05 was considered as significant.

          Results:

          There was statistically significant decrease in PPD, PI, and depth of the defects during T0, T3 and T6 ( P < 0.05). No significant differences were observed in the RL and distance between incisal edge and interdental papilla ( P = 0.95). Furthermore, width of the defects demonstrated significant decrease up to T3 ( P = 0.042) while no significant changes from 3 months to 6 months were noted ( P = 0.59).

          Conclusion:

          The results showed that combined periodontal and orthodontic approach would be a successful treatment with acceptable stability in the case of regular follow-up visits and controlled oral hygiene habits.

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          Author and article information

          Journal
          Dent Res J (Isfahan)
          Dent Res J (Isfahan)
          DRJ
          Dental Research Journal
          Medknow Publications & Media Pvt Ltd (India )
          1735-3327
          2008-0255
          Nov-Dec 2013
          : 10
          : 6
          : 744-751
          Affiliations
          [1 ]Department of Periodontology, Tehran University of Medical Sciences, Tehran, Iran
          [2 ]Department of Periodontology and Dental Implant Research Center, Tehran University of Medical Sciences, Tehran, Iran
          [3 ]Department of Oral and Maxillofacial Radiology, Dental Faculty, Tehran University of Medical Sciences, Tehran, Iran
          [4 ]Department of Pediatrics Dentistry, Jondishapour University, Ahvaz, Iran
          [5 ]Department of Orthodontic, Dental Faculty, Tehran University of Medical Sciences, Tehran, Iran
          Author notes
          Address for correspondence: Prof. Amir Ali Reza Rasouli Ghahroudi, Department of Periodontology, Dental Faculty of Tehran University of Medical Sciences, Karegare Shomali, Tehran, Iran. E-mail: amirali_rasouli@ 123456yahoo.com
          Article
          DRJ-10-744
          3872625
          24379862
          9873ca2a-a3b6-4ece-8aae-e200b084a9b3
          Copyright: © Dental Research Journal

          This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

          History
          : July 2012
          : March 2013
          Categories
          Original Article

          Dentistry
          aggressive periodontitis,orthodontic treatment,periodontal defect
          Dentistry
          aggressive periodontitis, orthodontic treatment, periodontal defect

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