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Gingival response to removable orthodontic appliances
American Journal of Orthodontics
|February 1, 1982
Summary
Removable orthodontic appliances can affect gingival health in children. Intentional appliance relief, while not increasing plaque, was linked to higher gingival index scores and hyperplasia.
Area of Science:
- Pediatric Dentistry
- Orthodontics
- Periodontology
Background:
- Orthodontic treatment is common in young patients.
- Removable appliances require careful management to maintain oral hygiene.
- Gingival health can be impacted by orthodontic devices.
Purpose of the Study:
- To assess the gingival state of young patients with removable orthodontic appliances.
- To investigate the effect of intentional appliance relief on gingival health and plaque levels.
Main Methods:
- Twenty-four young patients (mean age 9.4 years) were monitored monthly for 4 months.
- Nine patients received intentional relief in the upper right appliance area.
- Plaque index and gingival index were recorded throughout the study.
Main Results:
- Plaque index levels were similar between "relief" and "no-relief" groups.
- The gingival index was significantly higher in the "relief" group.
- Gingival hyperplasia occurred in five cases, all within the "relief" group.
Conclusions:
- Intentional relief of removable orthodontic appliances may negatively impact gingival health.
- Appliance adjustments require careful consideration to prevent gingival complications like hyperplasia.