Clinical Study Gingivitis and Anterior Gingival EnlargementRelated to Fixed Orthodontic Treatment in Different Population

Abstract

Abstract: Objective: To investigate the association among gingival enlargement (GE), gingivitis and social backgrounds in subjects undergoing fixed orthodontic treatment. Methods: A total of 250 patients undergoing fixed orthodontic treatment were divided into two groups including6-12months treatment group and more than 12months treatment group. The patient was examined by a single calibrated examiner for plaque and gingival indexes, probing pocket depth, clinical attachment loss, and gingival enlargement. Social background, orthodontic treatment duration, and use of dental floss were assessed by oral interviews. Associations were assessed by means of Poisson’s regression models. Results: The presence of gingival bleeding (RR 1.02; 95% CI 1.01-1.02) and excess resin around brackets (RR 1.04; 95% CI 1.04-1.05) were associated with an increase in GE. No association was found between socio-demographic characteristics and gingival enlargement. Conclusion: Anterior gingival bleeding and excess resin around brackets were associated with higher level of anterior gingival enlargement in subjects under orthodontic treatment.

Key words: Fixed orthodontic treatment, Gingivitis, Gingival enlargement, Gingival bleeding

CLC Number:

R783.5

RE ZI W ANG Keyimu, LI Ze-hui, MI Cong-bo. Clinical Study Gingivitis and Anterior Gingival EnlargementRelated to Fixed Orthodontic Treatment in Different Population[J]. Journal of Oral Science Research, 2015, 31(9): 913-916.

References

[1] Trombelli L, Scapoli C, Tatakis DN, et al. Modulation of clinical expression of plaque-induced gingivitis: effects of personality traits, social support and stress [J]. J ClinPeriodontol, 2005, 32(11)∶1143-50
[2] Antoniazzi RP, Miranda LA, Zanatta FB, et al. Periodontal conditions of individuals with Sjogren’s syndrome [J]. J Periodontol, 2009, 80(3)∶429-35
[3] Levin L, Samorodnitzky-Naveh GR, Machtei EE. The association of orthodontic treatment and fixed retainers with gingival health [J]. J Periodontol,2008,79(11)∶2087-92
[4] Polson AM, Subtelny JD, Meitner SW, et al. Long-term periodontal status after orthodontic treatment [J]. Am J OrthodDentofacialOrthop, 1988, 93(1)∶51-8
[5] Zachrisson S, Zachrisson BU. Gingival condition associated with orthodontic treatment [J]. Angle Orthod, 1972, 42(1)∶26-34
[6] Kloehn JS, Pfeifer JS. The effect of orthodontic treatment on the periodontium [J]. Angle Orthod, 1974, 44(2)∶127-34
[7] Kouraki E, Bissada NF, Palomo JM, Ficara AJ. Gingival enlargement and resolution during and after orthodontic treatment [J]. N Y State Dent J, 2005, 71(4)∶34-7
[8] Trackman PC, Kantarci A. Connective tissue metabolism and gingival overgrowth [J]. Crit Rev Oral Biol Med, 2004, 15(3)∶165-75
[9] Reali L, Zuliani E, Gabutti L, et al. Poor oral hygiene enhances gingival overgrowth caused by calcineurin inhibitors [J]. J Clin Pharm Ther,2009,34(3)∶255-60
[10] Somacarrera ML, Lucas M, Scully C, et al. Effectiveness of periodontal treatments on cyclosporine-induced gingival overgrowth in transplant patients [J]. Br Dent J, 1997, 183(3)∶89-94
[11] Gomes SC, Varela CC, Veiga SL, et al. Periodontal conditions in subjects following orthodontic therapy [J]. A preliminary study.Eur J Orthod, 2007, 29(5)∶477-81
[12] Sadowsky C, Begole EA. Long-term effects of orthodontic treatment on periodontal health [J]. Am J OrthodDentofacialOrthop, 1981, 80(2)∶156-72
[13] Loe H, Silness J. Periodontal disease in pregnancy. I. Prevalence and severity [J]. ActaOdontol Scand,1963,21∶533-51
[14] Loe H. The gingival index, the plaque index and the retention index systems [J]. J Periodontol, 1967, 38(6 Suppl.)∶s610-6
[15] Seymour RA, Smith DG, Turnbull DN. The effects of phenytoin and sodium valproate on the periodontal health of adult epileptic patients [J]. J ClinPeriodontol, 1985, 12(6)∶413-9
[16] Greenstein G, Caton J, Polson AM. Histologic characteristics associated with bleeding after probing and visual signs of inflammation [J]. J Periodontol, 1981, 52(8)∶420-5
[17] Polson AM, Greenstein G, Caton J. Relationships between epithelium and connective tissue in inflamed gingiva [J]. J Periodontol, 1981, 52(12)∶743-6
[18] ErkanMPikdokenLUsumezS. Gingival Response toMandibular Incisor Intrusion J [J]. Am J OrthodDentofacialOrthop, 2007, 132∶9-13
[19] 陆静,龚逸明,丁小军,等.正畸治疗中牙龈增生的致病因素分析[J].中华口腔正畸学志,2010,17 3∶140-143
[20] Zanatta FB, Ardenghi TM, Antoniazzi RP, et al. Association between gingival bleeding and gingival enlargement and Oral healthrelated quality of life (OHRQoL) of subjects under fixed orthodontic treatment: a cross-sectional study [J]. BMC Oral Health, 2012, 12(1)∶53-57