PMID- 31906577
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2304-6767 (Electronic)
IS  - 2304-6767 (Linking)
VI  - 8
IP  - 1
DP  - 2020 Jan 2
TI  - Impact of Fixed Orthodontic Appliance and Clear Aligners on the Periodontal 
      Health: A Prospective Clinical Study.
LID - 10.3390/dj8010004 [doi]
LID - 4
AB  - This study aimed to evaluate the periodontal health of orthodontic patients with 
      supportive periodontal therapy in a 3 month follow-up. The sample comprised 20 
      patients (mean age 20.6 +/- 8.1 years) in treatment with multibracket fixed 
      appliances (fixed group-FG) and 20 patients (mean age 34.7 +/- 12.5 years) in 
      treatment with clear aligners (clear aligners group-CAG). At baseline (T0) and 
      after 3 months (T1), probing depth (PD), plaque index (PI), bleeding on probing 
      (BOP), and gingival recession (REC) were measured. Patients were trained to 
      perform an individualized tooth brushing technique, and every 2 weeks they were 
      re-called to reinforce the oral hygiene instructions. The intra-group comparisons 
      (T1 vs. T0) were calculated with the Wilcoxon signed-rank test, while a linear 
      regression model was used for the inter-group comparisons (FG vs. CAG). The 
      significance level was set at p < 0.05. Statistically significant decrease in 
      both groups was found for PD (FG: Delta, -9.2 inter-quartile range (IQR), -22.5, 
      -5.5; CAG: Delta, -12.6 IQR, -25.4, -4.8), BOP (FG: Delta, -53.5 IQR, -70.5, -37; CAG: Delta, 
      -37.5 IQR, -54.5, -23), and PI (FG: Delta, -17.5 IQR, -62.5, 14.5; CAG: Delta, -24 IQR, 
      -49.5, -5). The result of the linear regression models suggested that the type of 
      appliance did not have any effects on the improvement of periodontal variables. 
      Therefore, patients undergoing orthodontic treatment with fixed appliances and 
      clear aligners did not show differences in gingival health when followed by a 
      dental hygienist.
FAU - Madariaga, Ada Carolina Pango
AU  - Madariaga ACP
AD  - Department of Neuroscience, Reproductive Science and Oral Science, Division of 
      Orthodontics, University of Naples Federico II, 80131 Naples, Italy.
FAU - Bucci, Rosaria
AU  - Bucci R
AD  - Department of Neuroscience, Reproductive Science and Oral Science, Division of 
      Orthodontics, University of Naples Federico II, 80131 Naples, Italy.
FAU - Rongo, Roberto
AU  - Rongo R
AD  - Department of Neuroscience, Reproductive Science and Oral Science, Division of 
      Orthodontics, University of Naples Federico II, 80131 Naples, Italy.
FAU - Simeon, Vittorio
AU  - Simeon V
AD  - Department of Mental Health and Preventive Medicine, Medical Statistics Unit, 
      University of Campania "Luigi Vanvitelli", Largo Madonna Delle Grazie, 80138 
      Naples, Italy.
FAU - D'Anto, Vincenzo
AU  - D'Anto V
AD  - Department of Neuroscience, Reproductive Science and Oral Science, Division of 
      Orthodontics, University of Naples Federico II, 80131 Naples, Italy.
FAU - Valletta, Rosa
AU  - Valletta R
AD  - Department of Neuroscience, Reproductive Science and Oral Science, Division of 
      Orthodontics, University of Naples Federico II, 80131 Naples, Italy.
LA  - eng
PT  - Journal Article
DEP - 20200102
PL  - Switzerland
TA  - Dent J (Basel)
JT  - Dentistry journal
JID - 101716125
PMC - PMC7175220
OTO - NOTNLM
OT  - clear aligners
OT  - dental plaque
OT  - fixed orthodontic appliances
OT  - gingival health
OT  - oral hygiene
COIS- The authors declare no conflict of interest
EDAT- 2020/01/08 06:00
MHDA- 2020/01/08 06:01
PMCR- 2020/01/02
CRDT- 2020/01/08 06:00
PHST- 2019/09/23 00:00 [received]
PHST- 2019/11/10 00:00 [revised]
PHST- 2019/12/19 00:00 [accepted]
PHST- 2020/01/08 06:00 [entrez]
PHST- 2020/01/08 06:00 [pubmed]
PHST- 2020/01/08 06:01 [medline]
PHST- 2020/01/02 00:00 [pmc-release]
AID - dj8010004 [pii]
AID - dentistry-08-00004 [pii]
AID - 10.3390/dj8010004 [doi]
PST - epublish
SO  - Dent J (Basel). 2020 Jan 2;8(1):4. doi: 10.3390/dj8010004.