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International Journal of Applied Dental Sciences
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ISSN Print: 2394-7489, ISSN Online: 2394-7497
ICV 2019: 92.11

International Journal of Applied Dental Sciences

2022, Vol. 8 Issue 4, Part B

Porphyromonas gingivalis, an Orthodontic point of view

AUTHOR(S): Anabell Alvarado Sanchez, Adriana Leticia Garcia Moyeda, Karla Isabel Juarez Ibarra, Julio Benitez Pascual, Daniel Lizarraga Rodriguez, Violeta Isabel Quintero Salazar, Cesar Alejandro Arellano Villarreal and Juan Manuel Solis Soto
ABSTRACT:
Introduction: Porphyromonas gingivalis (Pg) levels progressively increase in quantity and quality in the course of orthodontic treatment posing a risk to periodontal health.
Objective: To analyze the existing literature on the prevalence, clinical manifestations, diagnostic methods, treatment and prevention of Porphyromonas gingivalis from a systemic, oral and orthodontic point of view.
Methodology: A literature review was carried out by searching databases using the keywords: "Porphyromonas gingivalis", "prevalence", "orthodontics", "treatment", "prevention", "diagnosis", "levels", "systemic", "treatment" and "periodontitis".
Results: There is a 68.2% prevalence of Pg in periodontal pockets which increases during orthodontic treatment. Its main clinical manifestations in orthodontic treatment are increased depth and bleeding on probing, decreased level of clinical attachment and increased gingival and periodontal index. Pg is detected by measuring salivary MMP-9 levels by ELISA and intraoral clinical examination. Treatment for Pg infection includes mechanical therapy and adjuvant therapies such as the use of amoxicillin and metronidazole, chitosan and azithromycin or azithromycin alone. Toothbrushing and interproximal cleaning are the cornerstones of preventing the occurrence of Pg during orthodontic treatment, in conjunction with oral and periodontal hygiene education.
Conclusion: Pg levels increase during orthodontic treatment, which implies a risk for the development of periodontitis during and after treatment, its prevention is important at all stages of treatment.

Pages: 82-87  |  85 Views  22 Downloads
How to cite this article:
Anabell Alvarado Sanchez, Adriana Leticia Garcia Moyeda, Karla Isabel Juarez Ibarra, Julio Benitez Pascual, Daniel Lizarraga Rodriguez, Violeta Isabel Quintero Salazar, Cesar Alejandro Arellano Villarreal, Juan Manuel Solis Soto. Porphyromonas gingivalis, an Orthodontic point of view. Int J Appl Dent Sci 2022;8(4):82-87. DOI: https://doi.org/10.22271/oral.2022.v8.i4b.1629
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International Journal of Applied Dental Sciences