Periodontal Parameters in Orthodontic Patients With Stainless Steel and Ceramic Brackets.

University of Pavia

Status

Completed

Conditions

Dental Malocclusion

Periodontal Inflammation

Treatments

Other: Fixed orthodontic treatment with stainless steel brackets

Other: Fixed orthodontic treatment with ceramic brackets

Study type

Interventional

Funder types

Other

Identifiers

NCT05144555

2021-METCERIGIENE

Details and patient eligibility

About

The aim of this study is to assess if there are significant differences in periodontal conditions between patients undergoing fixed orthodontic treatment with stainless steel or ceramic brackets. For this study, patients will be enrolled and divided into two groups, according to the type of brackets (stainless steel or ceramic) used for orthodontic treatment. A professional supragingival and subgingival oral hygiene will be performed before the bonding of the orthodontic brackets together with a periodontal evaluation will be recording the following periodontal indices: PPD, BoP, BS, GI, PI, BEWE and Schiff Air Index. Indices will be recorded after 1, 3 and 6 months after the bonding, separately for both in maxillary and in mandibular dental arches and only for teeth with brackets bonded.

Full description

This clinical trial aims to investigate if there are significant differences in periodontal conditions between patients undergoing fixed orthodontic treatment with stainless steel or ceramic brackets. Patients recruited for the study will be asked to sign the informed consent. Parents will sign the consent for underage patients. A professional supragingival and subgingival oral hygiene will be performed before the bonding of the orthodontic brackets; a piezoelectric instrument and Gracey curettes will be used. After that, patients will be divided into two groups:

Group MET: stainless steel brackets will be bonded on the vestibular surfaces of teeth.
Group CER: ceramic brackets will be bonded on the vestibular surfaces of teeth. Before the bonding on maxillary dental arch, a periodontal evaluation will be conducted recording the following periodontal indices: PPD, BoP, BS, GI, PI, BEWE and Schiff Air Index. Indices will be recorded after 1, 3 and 6 months after the bonding, separately for both in maxillary and in mandibular dental arches. Only teeth with brackets bonded will be considered.

Enrollment

20 patients

Sex

All

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

patients willing to begin fixed multibracket therapy with metallic or ceramic brackets;
full permanent dentition;
all teeth from central incisors to second premolars.

Exclusion criteria

patients suffering from systemic diseases;
patients taking medications that could alter periodontal conditions (NSAIDS, steroids, etc.);
patients with low compliance;
patients unable to give informed consent;
presence of congenital enamel defects;
extractions for orthodontic reasons;
oral/orthognathic surgery;
presence of dental implants on teeth from central incisors to second premolars.