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Related Concept Videos

Teeth01:15

Teeth

361
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
361

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3D Imaging of PDL Collagen Fibers during Orthodontic Tooth Movement in Mandibular Murine Model
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Periodontal changes induced by fixed orthodontic therapy.

Alina Cristina Rădeanu1, Mihai Surpăţeanu2, Cristina Maria Munteanu3

  • 1Doctoral School, University of Medicine and Pharmacy, Craiova, Romania.

Medicine and Pharmacy Reports
|September 5, 2024
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Summary

Orthodontic therapy can cause gingival overgrowth, often worsened by factors like plaque and poor dental work. Removing these irritants can significantly improve symptoms and reverse inflammation.

Keywords:
fixed orthodontic appliancesgingival overgrowthorthodontic treatment

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Area of Science:

  • Dentistry
  • Periodontology
  • Orthodontics

Background:

  • Orthodontic therapy can lead to oral mucosa injuries, including gingival overgrowths and periodontal damage like gingival retraction and bone resorption.
  • These complications require multidisciplinary management involving various dental specialists.

Purpose of the Study:

  • To determine the incidence of gingival overgrowth associated with fixed orthodontic therapy.
  • To identify factors that exacerbate symptoms of orthodontically induced gingival overgrowth.

Main Methods:

  • A clinical and statistical study of 74 patients undergoing fixed orthodontic therapy was conducted.
  • Periodontal status was assessed using indices for oral hygiene (OHI-S, O'Leary), gingival inflammation (Löe/Silness), and gingival overgrowth (McGaw).

Main Results:

  • The majority of patients were female, aged 30-55, presenting with Grade II gingival hyperplasia.
  • Exacerbating factors included ill-fitting prosthetics, unpolished fillings, plaque, and tartar.
  • Gingival inflammation and bleeding were common findings.

Conclusions:

  • Orthodontically induced gingival overgrowth often co-exists with and is amplified by contributing factors.
  • Removal of aggravating factors such as plaque, calculus, and faulty restorations is crucial for symptom improvement and reversal of inflammation.