Estimation And Comparison of Red Complex Bacterial Level in Mal-occlusion Patients with And Without Fixed Orthodontic Appliances- A Clinical and Microbiological Study

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Dr. Vandana Vijayan, Dr. P L Ravishankar, Dr. A.V Saravanan, Dr. Sunanda Rao K,, Dr. C. Deepak


Objective:The objective of this retrospective study was to evaluate the clinical and microbiological effect of molar bands in malocclusion patients with fixed orthodontic appliances and compare it with patients who are not undergoing orthodontic treatment.

Methods:The present retrospective study was carried out on a total number of 30 subjects, who visited Departments of Periodontics and Orthodontics, SRM Kattankulathur Dental College, Potheri. The subjects chosen were patients diagnosed with malocclusion. Group I(ortho treated) includes those who were about to undergo fixed orthodontic therapy and those who have not opted for the same were allocated under group II(control). Clinical parameters (PI, GI, BOP, PPD, CAL) were recorded, pooled subgingival plaque samples were collected for assessment of bacterial load of (P.gingivalis,.T. Denticola, T.forsythia ) red complex bacteria and subjected to Real time PCR assay. Clinical and microbiological data were collected at baseline, 1 month,3 month and 6 month intervals from both groups and results were subjected to statistical analysis.

Results:A significant increase of all clinical parameters including PI, GI, BOP, PPD & CAL along with red complex bacterial level were seen in patients with molar bands over the recommended time intervals when compared to those left untreated.

Conclusion:Proper oral hygiene practices and routine periodontal check-up are inevitable during active orthodontic treatment as well as in the presence of malalignment. Since more periodontal disease risk was expressed during fixed orthodontic therapy more attention towards oral hygiene maintenance during active treatment period is essential.

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