Prevalence of periodontal diseases in orthodontic patients
Ujjwal Priyadarsi1, Mohammad Shahbaz Alam2, Abid Hussain3, Farrukh Azam4, Priyanka Kumari5, Md Abu Nafe6
1 Senior Resident, Department of Dentistry, PMCH, Dhanbad, Bihar, India
2 Senior Lecturer, Department of Periodontology and Oral Implantology, Awadh Dental College and Hospital, Jamshedpur, Jharkhand, India
3 Department of Orthodontics, Mithila Minority Dental College and Hospital, Darbhanga, Bihar, India
4 Professor and HOD, Department of Dentistry, PMCH, Dhanbad, India
5 Consultant Orthodontist, Department of Orthodontics, Brahmanad Narayana Hospital, Jamshedpur, Jharkhand, India
6 Department of Periodontology and Oral Implantology, Mithila Minority Dental College and Hospital, Darbhanga, Bihar, India
Senior Resident, Department of Dentistry, PMCH, Dhanbad, Jharkhand
Source of Support: None, Conflict of Interest: None
Objective: The objective was to investigate the association between orthodontic treatment and periodontitis in a representative sample of Jharkhand.
Methodology: The clinical examinations at six sites per tooth were assessed using visible plaque index (VPI), gingival bleeding index (GBI), bleeding on probing (BOP), periodontal probing depth (PPD), and clinical attachment loss (CAL). A manual Williams probe (Neumar, São Paulo, Brazil) was used, except for the VPI. Data analysis was done.
Results: The median percentage values of sites positive for VPI, GBI, and BOP were calculated for each group and compared using a Mann–Whitney test and the mean values for PPD and CAL with a Student's t-test. Intragroup comparisons between teeth were performed with Tukey's analysis of variance. The level of significance was set at 5%.
Conclusion: The use of orthodontic appliances is not necessarily related to worsening periodontal conditions. The results of the present study reinforce the importance of susceptibility to periodontal disease independent of the presence of a well-known retentive plaque factor, i.e., orthodontic appliances and/or bands.