Year : 2021

Volume : Volume 12

Issue : Issue 6

Address for correspondence :
Anindya Priya Saha
dreamy.aps@gmail.com

Abstract

Background: While undergoing fixed orthodontic therapy, gingiva shows various inflammatory changes with time, such as gingival bleeding and enlargement. Presenting serious clinical concerns. As Fixed Orthodontic Appliance (FOA) interferes with patients’ oral hygiene practice, and it aids into furthermore plaque retention, the FOA patients are prone to develop inflammatory diseases of the gingiva. The aims of the study
was to evaluate the impact of fixed orthodontic therapy on the patients’ periodontal health as well as to test whether orthodontic mechanotherapy could alter the sub-gingival plaque biofilm to a pathogenic flora from a non-pathogenic one, conducive enough for the pathosis. Materials and Methods: 70 subjects were included in the study including 50 subjects undergoing fixed orthodontic therapy (referred to as “case”) and 20 subjects yet not received brackets (referred to as “control”). Gingival bleeding on probing and Porphyromona gingivalis count were measured before the placement of bracket and after 3 months for “cases;” and same were assessed for “controls” at same interval; and both set of data were compared. Results: bleeding tendency and P. gingivalis count were significantly increased in case population; while that remained unchanged for controls. Conclusion: fixed orthodontic therapy favors periodontal disease by plaque retention and subsequent change in sub-gingival microbial flora.
Keywords: Fixed orthodontic appliance, Gingiva, Bleeding, Porphyromona gingivalis.