Dental and Medical Problems

Dent Med Probl
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ISSN 1644-387X (print)
ISSN 2300-9020 (online)
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Dental and Medical Problems

2016, vol. 53, nr 1, January-March, p. 118–124

doi: 10.17219/dmp/61071

Publication type: review article

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

Microbial Changes in Subgingival Plaque During Orthodontic Treatment – Literature Review

Zmiany mikrobiologiczne w płytce poddziąsłowej podczas leczenia ortodontycznego – przegląd piśmiennictwa

Agnieszka Elżbieta Osmólska-Bogucka1,B,C,D,F, Małgorzata Zadurska1,E,F

1 Department of Orthodontics, Warsaw Medical University, Warsaw, Poland

Abstract

Dental plaque is considered one of the factors inducing oral cavity diseases such as caries, periodontitis, gingivitis and peri-implantitis. Treatment with orthodontic appliances is related to a change of physiological properties within the oral cavity. Hampered hygiene as well as an increased number of retentive sites result in increased accumulation of dental plaque as well as a slowing down of the spontaneous physiological processes of tooth cleaning. As a consequence, so-called orthodontic biofilm occurs that creates a range relation with other structures of the oral cavity. For over 100 years, research has been conducted aimed at an explanation of the influence of bacteria on the etiopathogenesis of periodontal diseases. Many authors have stated that changes in periodontal tissues might occur during orthodontic treatment. There are few publications referring to young children (9–14 years of age); the number of comparisons of patients treated with fixed and removable orthodontic appliances are also scarce. The objective of this paper is an attempted answer to the question whether orthodontic appliances may affect the number of bacteria which cause periodontal diseases?.

Key words

orthodontic treatment, subgingival plaque, microbial changes

Słowa kluczowe

leczenie ortodontyczne, płytka poddziąsłowa, zmiany mikrobiologiczne

References (36)

  1. Jańczuk Z., Ciągło A.: Introduction to epidemiology of masticatory system conditions. Medical Education Centre, Warsaw, 1999 [in Polish].
  2. Slots J.: Microflora in the healthy gingival sulcus in man. Scand. J. Dent. Res. 1977, 85, 247–254.
  3. Listgarten M.A.: Structure of the microbial flora associated with periodontal health and disease in man. J. Periodontol. 1976, 47, 1–18.
  4. Socransky S.S., Haffajee A.D.: The bacterial etiology of destructive periodontal disease: current concepts. J. Periodontol. 1992, 63, 322–331.
  5. Clinical Periodontology. Ed.: Wierzbicka M., Part 1, Sanmedia, Med Tour Press International Publishing. Warsaw 1992 [in Polish].
  6. Eley B.M., Soory M., Manson J.D.: Periodontology. Elsevier Urban & Partner Publishing, Wrocław, 2011 [in Polish].
  7. Theilade E.: The non-specific theory in microbial etiology of inflammatory periodontal diseases. J. Clin. Periodontol. 1986, 13, 905–911.
  8. Socransky S.S.: Microbial complexes in subgingival plaque. J. Clin. Periodontol. 1998, 25, 134–144.
  9. Ximénez-Fyvie L.A., Haffajee A.D., Socransky S.S.: Comparison of the microbiota of supraand subgingival plaque in health and periodontitis. J. Clin. Periodontol. 2000, 27, 648–657.
  10. Ximénez-Fyvie L.A., Haffajee A.D., Socransky S.S.: Microbial composition of supraand subgingival plaque in subjects with adult periodontitis. J. Clin. Periodontol. 2000, 27, 722–732.
  11. Sbordone L., Bortolaia C.: Oral microbial biofilms and plaque-related diseases: microbial communities and their role in the shift from oral health to disease. Clin. Oral Investig. 2003, 7, 181–188.
  12. Krawczyk B.: Molecular diagnostics in hospital infections. Post. Mikrobiol. 2007, 46, 367–378 [in Polish].
  13. Paolantonio M., Pedrazzoli V., di Murro C., di Placido G., Picciani C., Catamo G., De Luca M., Piaccolomini R.: Clinical significance of Actinobacillus actinomycetemcomitans in young individuals during orthodontic treatment. J. Clin. Periodontol. 1997, 24, 610–617.
  14. Sallum E.J., Nouer D.F., Klein M.I., Goncalves R.B., Machion L., Sallum A.W.: Clinical and microbiologic changes after removal of orthodontic appliances. Am. J. Orthod. Dentofacial. Orthop. 2004, 126, 363–366.
  15. Naranjo A.A., Triviño M.L., Jaramillo A., Betancourth M., Boterob J.E.: Changes in the subgingival microbiota and periodontal parameters before and 3 months after bracket placement. Am. J. Orthod. Dentofacial. Orthop. 2006, 130, 17–22.
  16. Ristic M., Vlahovic-Svabic M., Sasic M., Zelic O.: Effects of orthodontic appliances on subgingival microflora. Int. J. Dent. Higiene 2008, 6, 129–136.
  17. Lee S.M., Yoo S.Y., Kim H.S., Kim K.W., Yoon Y.J., Lim S.H., Shin H.Y., Kook J.K.: Prevalence of putative periodontopathogens in subgingival dental plaques from gingivitis lesions in Korean orthodontic patients. J. Microbiol. 2005, 43, 260–265.
  18. Kim K., Heimisdottir K., Gebauer U., Persson G.R.: Clinical and microbiological findings at sites treated with orthodontic fixed appliances in adolescents. Am. J. Orthod. Dentofacial. Orthop. 2010, 137, 223–228.
  19. Demling A., Demling C., Schwestka-Polly R., Stiesch M., Heuer W.: Influence of lingual orthodontic therapy on microbial parameters and periodontal status in adults. Eur. J. Orthod. 2009, 31, 638–642.
  20. Thornberg M.J., Riolo C.H.S., Bayirii B., Riolo M.L., Van Tubergen E.A., Kulbersh R.: Periodontal pathogen level in adolescents before, during, after fixed orthodontic appliance therapy. Am. J. Orthod. Dentofacial. Orthop. 2009, 135, 95–98.
  21. Kloehn J.S., Pfeifer J.S.: The effect of orthodontic treatment on the periodontium. Angle Orthod. 1974, 44, 127–134.
  22. Boyd R., Leggott P., Quinn R., Eakle W., Chambers D.: Periodontal implications of orthodontic treatment in adults with reduced or normal periodontal tissues versus those of adolescents. Am. J. Orthod. Dentofacial. Orthop. 1989, 96, 191–198.
  23. Zachrisson B.U.: Cause and prevention of injuries to teeth and supporting structures during orthodontic treatment. Am. J. Orthod. 1976, 69, 285–300.
  24. Zachrisson S., Zachrison B.U.: Gingival condition associated with orthodontic treatment. Angle Orthod. 1972, 42, 26–34.
  25. Paolantonio M., Festa F., di Placido G., D’Attilio M., Catamo G., Piccolomini R.: Site-specific subgingival colonization by Actinobacillus actinomycetemcomitans in orthodontic patients. Am. J. Orthod. Dentofacial. Orthop. 1999, 115, 423–428.
  26. Asai Y., Jinno T., Igarashi H., Ohyama Y., Ogawa T.: Detection and quantification of oral treponemes in subgingival plaque by real-time PCR. J. Clin. Microbiol. 2002, 40, 3334–3340.
  27. Choi D.S., Cha B.K., Jost-Brinkmann P.G., Lee S.Y., Chang B.S., Jang I., Song J.S.: Microbiologic changes in subgingival plaque after removal of fixed orthodontic appliances. Angle Orthod. 2009, 79, 1149–1155.
  28. Demling A., Heuer W., Elter C., Heidenblut T., Bach F.W., Schwestka-Polly R., Stiesch-Scholz M.: Analysis of supraand subgingival long-term biofilm formation on orthodontic bands. Eur. J. Orthod. 2009, 31, 202–206.
  29. Atassi F., Awartani F.: Oral hygiene status among orthodontic patients. J. Contemp. Dent. Pract. 2010, 11, 25–32.
  30. Van Gastel J., Quirynen M., Teughels W., Coucke W., Carels C.: Longitudinal changes in microbiology and clinical periodontal parameters after removal of fixed orthodontic appliances. Eur. J. Orthod. 2011, 33, 15–21.
  31. Montaldo C., Erriu M., Giovanna Pili F.M., Peluffo C., Nucaro A., Orrù G., Denotti G.: Microbial changes in subgingival plaque and polymicrobial intracellular flora in buccal cells after fixed orthodontic appliance therapy: a preliminary study. Int. J. Dent. 2013, 679, 312.
  32. Nalçacı R., Ozat Y., Cokakoğlu S., Türkkahraman H., Onal S., Kaya. S.: Effect of bracket type on halitosis, periodontal status, and microbial colonization. Angle Orthod. 2014, 84, 479–485.
  33. Ghijselings E., Coucke W., Verdonck A., Teughels W., Quirynen M., Pauwels M., Carels C., van Gastel J.: Long-term changes in microbiology and clinical periodontal variables after completion of fixed orthodontic appliances. Orthod. Craniofac. Res. 2014, 17, 49–59.
  34. Torlakovic L., Paster B.J., Ogaard B., Olsen I.: Changes in the supragingival microbiota surrounding brackets of upper central incisors during orthodontic treatment. Acta Odontol. Scand. 2013, 71, 1547–1554.
  35. Baka Z.M., Basciftci F.A., Arslan U.: Effects of 2 bracket and ligation types on plaque retention: a quantitative microbiologic analysis with real-time polymerase chain reaction. Am. J. Orthod. Dentofacial. Orthop. 2013, 144, 260–267.
  36. Ireland A.J., Soro V., Sprague S.V., Harradine N.W., Day C., Al-Anezi S., Jenkinson H.F., Sherriff M., Dymock D., Sandy J.R.: The effects of different orthodontic appliances upon microbial communities. Orthod. Craniofac. Res. 2014, 17, 115–123.
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