Clinical and microbiological evaluation of stabilised periodontal patients undergoing early stage of orthodontic treatment
Orthodontic treatment may affect the equilibrium of oral microbiota which plays a major role in aetiology of periodontal disease. This prospective clinical study aimed to assess the periodontal health and microbiological profile of healthy (Group 1) and stabilised periodontal (Group 2) patient...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2020
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| Online Access: | http://journalarticle.ukm.my/16273/1/11_ms0415_pdf_14616.pdf http://journalarticle.ukm.my/16273/ https://www.medicineandhealthukm.com/toc/15/2 |
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| Institution: | Universiti Kebangsaan Malaysia |
| Language: | English |
| Summary: | Orthodontic treatment may affect the equilibrium of oral microbiota which plays
a major role in aetiology of periodontal disease. This prospective clinical study
aimed to assess the periodontal health and microbiological profile of healthy
(Group 1) and stabilised periodontal (Group 2) patients throughout three months
of orthodontic treatment. Upper and lower fixed orthodontic appliances were
bonded. Periodontal health was assessed using plaque score (PS), bleeding
on probing (BOP) and pocket depth (PD). 29 sites were taken for subgingival
plaque sampling. Plaque samples were inoculated on Trypticase Soy Blood Agar
(TSBA) and Trypticase Soy Bacitracin Vancomycin (TSBV) agar for assessment
of aerobe, anaerobe, black pigmented bacteria (BPB) and Aggregatibacter
actinomycetemcomitans. All the measurements were taken before bonding (T0), 1
week (T1), 1 month (T2) and 3 months post-bonding (T3). Generally, periodontal
health in both groups were almost similar. After 1 week, the number of aerobes
was significantly higher in Group 1 (88%) while the anaerobes were significantly
higher in Group 2 (45%). A. actinomycetemcomitans was higher in Group 1 at
T0 and T1 but was significantly higher in Group 2 at T3. BPB was minimal at all
time with no significant difference. Thus, during the first 3-month of orthodontic
treatment, there were significant changes in the number of aerobes-anaerobes
in both healthy and stabilised periodontal patients. Pathogenic bacteria would
increase during early treatment of orthodontics. |
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