Orthodontic Treatment of a Periodontally - Affected Adult Patient (Case Report)

BACKGROUND: The advanced periodontal disease is characterised by a strongly pronounced loss of attachment and reduction of the alveolar bone support, which leads to luxation, migration of the teeth, functional discomfort and poor facial aesthetics. CASE PRESENTATION: The aim of this paper is to present the case of a 26-year-old female patient, registered at the Clinic of Periodontology with highly expressed gingivitis, unsatisfactory periodontal status, presence of diastemas between the frontal teeth and attachment loss of 5-6 millimetres in different areas. We conducted a thorough classic periodontal treatment, as well as training for proper maintenance of oral hygiene, with frequent professional oral-prophylactic sessions, complemented with orthodontic treatment. Fixed orthodontic appliances were installed, and mild forces were applied for gradual levelling of the teeth, with constant control of the periodontal status. After 20 months of treatment, the patient was in retention. CONCLUSION: Orthodontic therapy of periodontally-affected teeth can begin only after exhaustive administration of a periodontal treatment. Orthodontic treatment as an addition to the periodontal restoration must be gradual with mild forces for an optimal dental response, thus helping to improve function, facial aesthetics and psychological confidence of adult patients

COMPARATIVE ANALYSIS OF MICROBIAL ACCUMULATION ON DIFFERENT TYPES OF SUTURE MATERIALS IN PERIODONTAL SURGERY AND IMPLANTOLOGY

: The suture material is an artificial material used for intimate approximation of the wound edges until they can naturally adhere through collagen fibers. The accumulation of microbes varies depending on the quality and macrostructure of different suture materials. The ideal suture material should induce minimal tissue injury, resist bacterial contamination, and provide adequate tissue support. Aim of the study: The goal of this study is the evaluation of microbiological findings and the healing of the tissue by using 4 types of suture materials in various periodontal and implant surgical interventions. To achieve this objective, a comparative analysis of clinical and microbiological findings was conducted. Material and methods: The examination involved 20 participants divided into four groups. Each group received a different type of suture material: silk, polyamide, polyglycolic acid and poliglecaprone 25. The examinations were conducted 10 days after the surgery and comprised two parts: clinical and microbiological evaluations. Results: The highest number of colony-forming units (CFUs/ml) was observed with silk suture materials, followed by a decline in the subsequent groups: polyglycolic acid, poliglecaprone 25 and polyamide. The soft tissue healing index showed the best results with polyamide and poliglecaprone 25, while the worst results were associated with polyglycolic acid and silk. Conclusions: Monofilament suturing materials demonstrated lower bacterial accumulation and superior clinical characteristics compared to multifilament materials. Key words: Suturing materials, inflammation, bacterial accumulation, periodontal surgery, implantolog

Laser analgesic during orthodontic therapy

Introduction: Most of the patients feel pain 4 hours after the arch applying, gaining the highest level after 24 hours and its lowering in the next few days. Literature reports show that the fear of pain is a very important reason for discouraging the patient to agree for this kind of orthodontic treatment The aim of this study was to evaluate the effectiveness of the biostimulative laser treatment in pain reduction in patients with fixed orthodontic appliances. Materials and methods. Fifteen patients were treated with low energy level biostimulative diode laser, used 2 minutes per quadrant immediately after placement of fixed orthodontic appliances and in the following four days. The control group of 15 patients received analgesic therapy for period of five days. The pain was assessed subjectively as strong, medium or no pain. The pain disappeared in 20% of the subjects in the examined group after the first day, while in 60% and 26.6% of the subjects medium and isolated pain was still present at day 2 and 3, respectively. Results. The pain disappeared in all the patients treated with laser at day 5. In the control group, strong pain was present in all the subjects the first day, decreasing to 60% of strong pain and 20% medium pain the second day. After day three, the control group demonstrated medium localized pain in 40% of the cases, which dropped to 26.6% after the fourth day, suggesting delayed pain reduction, compared to the laser treated group. Conclusion. Our results suggest that the low energy laser treatment can successfully be used for pain reduction during the initial discomfort period after placing fixed orthodontic appliances