The Impact of Orthodontic Treatment on Stage III / Grade C Periodontitis: A Systematic Review

Abstract

Aims: Aggressive periodontitis evolves rapidly to severe periodontal destruction, which involves a multidisciplinary treatment for handling the periodontal infection, reconstructing defects, and realigning migrated teeth. Orthodontic treatment improves all aspects of periodontal health including aesthetics, teeth function, and oral hygiene, therefore preventing degeneration. This systematic review intends to focus on the effect of orthodontic treatment on the evolution of aggressive periodontitis. The clinical parameters are pocket depth, decrease in inflammation, attachment gain, index of dental plaque, and bone gain. Materials and methods: This research is based on the analysis of four bibliographic databases which include PubMed, EBSCO, Science Direct, and Cochrane Library. Several search equations are used and the keywords are orthodontic treatment, aggressive periodontitis, migrated teeth, and combination treatment. Pertinent studies with a comparison of periodontal conditions before and after orthodontic treatment are selected. Several analytic parameters are used and tabulated. Results: Two hundred and seventy-one (271) studies were found and only four (04) were selected due to inclusion criteria. The analysis shows significant improvement in all clinical parameters. Conclusions: Although clinical parameters were improved after an orthodontic treatment, the results are irrelevant because of the insufficient studies with arguable statistical findings.