Original Research Article
Year: 2019 | Month: December | Volume: 9 | Issue: 12 | Pages: 25-38
Evaluation of the Combined Orthodontic-Periodontal Therapy in the Management of Extruded Anterior Teeth in Patients with Aggressive Periodontitis
El-Attar H1,2, El-Kadi A3, Rabie A4, Ezz-el-Arab A5, Salah N6, Bedair T1,2
1Ass. Professor of orthodontics Umm Al-Qura University, KSA
2Lecturer of Orthodontics Suez-canal University, Egypt
3Professor of Orthodontics Suez-canal University, Egypt
4Professor of orthodontics Hong-Kong University, Hong-Kong
5Professor of Periodontics Cairo University, Egypt
6Professor of Dental Radiology Cairo University, Egypt
Corresponding Author: El-Attar H
ABSTRACT
This study assessed surgical periodontal treatment using Naringin collagen graft versus surgical procedure only in the treatment of extruded anterior teeth in patients with aggressive periodontitis after orthodontic treatment. Fourteen patients 20 to 40 years old having progressive periodontal disease leading to extrusion of one or more of the anterior teeth with at least one periodontal defect and a radiographic evidence of alveolar bone loss received a pre-orthodontic periodontal preparation phase. An orthodontic phase followed to intrude and align the extruded teeth. Seven patients received an open flap surgery with a Naringin graft, the other seven patients acted as a control only receiving an open flap surgery for mechanical debridement without graft placement. The following parameters were registered clinically and with standardized radiographs (plaque index, sulcus bleeding index, tooth mobility, pocket depth, bone level and bone density) before and after the orthodontic phase and at 3, 6, and 9 months following the periodontal surgery. Results showed a significant increase in all parameters from pre to post orthodontic intrusion. A significant improvement in plaque index, sulcus bleeding index, pocket depth, and bone density were detected following the periodontal surgery in both grafted and non-grafted groups. A significant improvement in pocket depth in the first 3 months following the periodontal surgery in both groups however the improvement in the grafted group was significantly higher. An improvement in bone level and bone density following the periodontal therapy was significantly higher throughout the follow-up period in the grafted group compared to the non-grafted group.
Key words: Orthodontic- Naringin - Periodontitis - Graft – Intrusion