The adult orthodontic patient over 40 years of age: association between periodontal bone loss, incisor irregularity, and increased orthodontic treatment need
| Autor: | Larissa Knocks, Daniela Klenke, Petra Santander, Anja Quast, Valentina Hrasky, Philipp Meyer-Marcotty |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Bone loss Overjet Alveolar Bone Loss Dentistry Orthodontics Mandible Overbite Severe periodontitis 03 medical and health sciences 0302 clinical medicine Incisor Medicine Humans General Dentistry Anterior teeth Periodontitis Treatment need business.industry 030206 dentistry Periodontology Tooth Migration Middle Aged medicine.disease medicine.anatomical_structure Cross-Sectional Studies Maxilla Periodontics Original Article Female business 030217 neurology & neurosurgery |
| Zdroj: | Clinical Oral Investigations |
| ISSN: | 1436-3771 1432-6981 |
| Popis: | Objectives Adult orthodontic treatment, especially in patients over 40 years, is steadily increasing. One causal factor for the treatment need in this age group is periodontal breakdown. The aim of this study was to detect correlations between periodontal problems and orthodontic parameters in interdisciplinary patients. Methods This observational, cross-sectional study included 118 patients over 40 years (51 men/67 women; mean age, 58.03 years) classified into three groups according to periodontal breakdown (group I, controls; group II, moderate periodontitis; group III, severe periodontitis). Clinical periodontal and orthodontic parameters as well as the index of orthodontic treatment need (IOTN) were assessed and compared between the groups. Results A gradual deterioration of all periodontal and orthodontic parameters according to periodontal bone loss (lowest values in group I; highest values in group III) was observed. Especially groups I and III differed significantly regarding the overjet (p < 0.001) and the little indices of the maxilla (p < 0.001) and mandible (p < 0.010). The IOTN was highest in group III: 90% of the patients with severe periodontitis were classified to have moderate to very great treatment need. Conclusions The higher the degree of periodontal breakdown was, the more severe were overjet, overbite, irregularity of the anterior teeth, and the orthodontic treatment need. Clinical relevance Adult patients over 40 years represent a challenge for an orthodontic/periodontal treatment approach with high incidence of pathologic tooth migration, orthodontic treatment need, and periodontal breakdown. Therefore, this special patient collective requires a focus in clinical orthodontics and research. |
| Databáze: | OpenAIRE |
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