固定装置vsクリアアライナー：歯周状態と歯肉退縮の評価レビュー(2022)

歯科医師、特に矯正医向けの最新矯正論文情報サイト

日常診療で多忙な歯列矯正医のためのドクター専用サイトです。

日々の診療や臨床、医学研究に役立つ最新海外論文をPubMedから情報を提供します。

Evidence-Based Medicine (EBM)、すなわち、科学的根拠に基づいた医療情報を提供します。

アブストラクトだけでなく、結果の表やグラフなど詳しい情報を日本語に訳して提供しています。

今回は2022年Med Oral Patol Oral Cir Bucal　に投稿された論文の紹介です。

固定装置とクリアアライナーによる矯正治療を受けている患者の歯周の状態と歯肉退縮の評価を目的としたシスティマティックレビューの論文です。

是非最後までご覧いただき、お忙しい先生方の情報収集にお役立てください。

Contents

題目・著者
研究背景
詳しく読む！
引用文献
記事監修
免責事項
矯正海外論文サイト公式Instagramのお知らせ

題目・著者

【題目】

Assessment of the periodontal health status and gingival recession during
orthodontic treatment with clear aligners and fixed appliances: A systematic
review and meta-analysis

PMID: 36641738 https://pubmed.ncbi.nlm.nih.gov/36641738/

【著者】

Marina Crego-Ruiz¹ , Adrià Jorba-García ²

1:DDS. Fellow of the Master’s degree programme in Orthodontics. Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
2:DDS, MS. Master’s degree in Oral Surgery and Implantology, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain

Correspondence:
Faculty of Medicine and Health Sciences Campus de Bellvitge. University of Barcelona C/ Feixa Llarga s/n; Pavelló Govern, 2ª planta, Despatx 2.9
08907 – L’Hospitalet de Llobregat (Barcelona), Spain
adriajorba@hotmail.com

研究背景

矯正用固定装置(FA)は適切な口腔衛生を保つことが困難なため、歯垢の蓄積を著しく促進させ、エナメル質の脱灰や歯肉の炎症が進行し、歯を支える組織の破壊につながることが示唆されている[3,4]。

そのようなFAのいくつかの制限を克服するために取り外し可能な透明なプラスティック製のクリアアライナー(CA)が導入された。CAは簡単に取り外すことが出来るため、患者の口腔衛生を最適なレべルに保つことが出来る[6,7]。FAとCAによる患者の歯周状態を評価する研究が行われている[8-10]。多くの臨床化がFAよりもCAの方が歯周の健康状態を維持しやすいとしているが、この仮説を検証するには十分な根拠がない[1,7,11]。

歯肉退縮についても議論がある。現在では、歯槽骨の外側への歯の移動が歯肉退縮の危険因子とされている[12,14,15]が、FAとCAによる歯肉退縮についての比較のレビューは行われていない。

本研究の目的は、FAとCAの矯正治療を受けている患者の歯周状態と歯肉退縮の評価のシスティマティックレビューをすることである。

詳しく読む！

固定装置とクリアアライナー：歯周状態と歯肉退縮の評価(システィマティックレビュー2022)) by @kyousei-ronbun

引用文献

Rossini G, Parrini S, Castroflorio T, Deregibus A, Debernardi CL.
Periodontal health during clear aligners treatment: A systematic review. Eur J Orthod. 2015;37:539-43.
Talic NF. Adverse effects of orthodontic treatment: A clinical perspective. Saudi Dent J. 2011;23:55-9.
Jiang Q, Li J, Mei L, Du J, Levrini L, Abbate GM, et al. Periodontal health during orthodontic treatment with clear aligners and fixed appliances: A meta-analysis. J Am Dent Assoc. 2018;149:712-20.
Chhibber A, Agarwal S, Yadav S, Kuo CL, Upadhyay M. Which orthodontic appliance is best for oral hygiene? A randomized clinical trial. Am J Orthod Dentofac Orthop. 2018;153:175-83.
Abbate GM, Caria MP, Montanari P, Mannu C, Orru G, Caprioglio A, et al. Periodontal health in teenagers treated with removable aligners and fixed orthodontic appliances. J Orofac Orthop. 2015;76:240-50.
Lagravere MO, Flores-Mir C. The treatment effects of Invisalign orthodontic aligners: a systematic review. J Am Dent Assoc. 2005;136:1724-9.
Robertson L, Kaur H, Fagundes NCF, Romanyk D, Major P, Flores Mir C. Effectiveness of clear aligner therapy for orthodontic treatment: A systematic review. Orthod Craniofacial Res. 2020;23:133-42.
Madariaga ACP, Bucci R, Rongo R, Simeon V, D’Anto V, Valletta R. Impact of Fixed Orthodontic Appliance and Clear Aligners on the Periodontal Health: A Prospective Clinical Study. Dent J. 2020;8:4.
Azaripour A, Weusmann J, Mahmoodi B, Peppas D, Gerhold-Ay A, Van Noorden CJF, et al. Braces versus Invisalign®: Gingival parameters and patients’ satisfaction during treatment: A cross-sectional study. BMC Oral Health. 2015;15:69.
Levrini L, Mangano A, Montanari P, Margherini S, Caprioglio A, Abbate GM. Periodontal health status in patients treated with the Invisalign® system and fixed orthodontic appliances: A 3 months clinical and microbiological evaluation. Eur J Dent. 2015;9:404-10.
Shokeen B, Viloria E, Duong E, et al. The impact of fixed orthodontic appliances and clear aligners on the oral microbiome and the association with clinical parameters: A longitudinal comparative study. Am J Orthod Dentofacial Orthop. 2022;161:475-85.
Cortellini P, Bissada NF. Mucogingival conditions in the natural dentition: Narrative review, case definitions, and diagnostic considerations. J Periodontol. 2018;89:204-13.
Bollen AM, Cunha-Cruz J, Bakko DW, Huang GJ, Hujoel PP. The effects of orthodontic therapy on periodontal health : A systematic review of controlled evidence. J Am Dent Assoc. 2008;139:413-22.
Johal A, Katsaros C, Kiliardis S, Leito P, Rosa M, Sculean A, et al. State of the science on controversial topics: Orthodontic therapy and gingival recession (a report of the Angle Society of Europe 2013 meeting). Prog Orthod. 2013;14:16.
Joss-Vassalli I, Grebenstein C, Topouzelis N, Sculean A, Katsaros C. Orthodontic therapy and gingival recession: A systematic review. Orthod Craniofac Res. 2010;13:127-41.
Tokede O. and Levine S.W. Periodontal health and orthodontic treatment. J Am Dent Assoc. 2019;150:85-6.
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009;339:b2700.
Sterne JA, Hernán MA, Reeves BC, Savović J, Berkman ND, Viswanathan M, et al. ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ. 2016;355:i4919.
Sterne JAC, Savović J, Page MJ, Elbers RG, Blencowe NS, Boutron I, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ. 2019;366:l4898.
Sifakakis I, Papaioannou W, Papadimitriou A, Kloukos D, Papageorgiou SN, Eliades T. Salivary levels of cariogenic bacterial species during orthodontic treatment with thermoplastic aligners or fixed appliances: a prospective cohort study. Prog Orthod. 2018;19:25.
Miethke RG, Vogt S. A comparison of the periodontal health of patients during treatment with the Invisalign® system and with fixed orthodontic appliances. J Orofac Orthop. 2005;66:219-29.
Mummolo S, Tieri M, Nota A, Caruso S, Darvizeh A, Albani F, et al. Salivary concentrations of Streptococcus mutans and Lactobacilli during an orthodontic treatment. An observational study comparing fixed and removable orthodontic appliances. Clin Exp Dent Res. 2020;6:181-7.
Han JY. A comparative study of combined periodontal and orthodontic treatment with fixed appliances and clear aligners in patients with periodontitis. J Periodontal Implant Sci. 2015;45:193-204.
Karkhanechi M, Chow D, Sipkin J, Sherman D, Boylan RJ, Norman RG, et al. Periodontal status of adult patients treated with fixed buccal appliances and removable aligners over one year of active orthodontic therapy. Angle Orthod. 2013;83:146-51.
Srinath M, Reddy V, Reddy G, Ramyasree K, Swetha T, Sridhar M. Aligners: A Boon for the Gingival Health of Orthodontic Patients. J Int Oral Heal. 2016;8:490-3.
Miethke RR, Brauner K. A Comparison of the periodontal health of patients during treatment with the Invisalign system and with fixed lingual appliances. J Orofac Orthop. 2007;68:223-31.
Baricevic M, Mravak-Stipetic M, Majstorovic M, Baranovic M, Baricevic D, Loncar B. Oral mucosal lesions during orthodontic treatment. Int J Paediatr Dent. 2011;21:96-102.
Mulla Issa FHK, Mulla Issa ZHK, Rabah AF HL. Periodontal parameters in adult patients with clear aligners orthodontics treatment versus three other types of brackets: A cross-sectional study. J Orthod Sci. 2020;9:4.
Gujar AN, Baeshen HA, Alhazmi A, Bhandi S, Raj AT, Patil S, Birkhed D. Cytokine levels in gingival crevicular fluid during orthodontic treatment with aligners compared to conventional labial fixed appliances: a 3-week clinical study. Acta Odontol Scand. 2019;77:474-81.
Alstad S, Zachrisson BU. Longitudinal study of periodontal condition associated with orthodontic treatment in adolescents. Am J Orthod. 1979;76:277-86
Arici S, Alkan A, Arici N. Comparison of different toothbrushing protocols in poor-toothbrushing orthodontic patients. Eur J Orthod. 2007;29:488-92.
Costa MR, Silva VC, Miqui MN, Sakima T, Spolidorio DMP, Cirelli JA. Efficacy of ultrasonic, electric and manual toothbrushes in patients with fixed orthodontic appliances. Angle Orthod. 2007;77:361-6.
Øgaard B, Afzelius Alm A, Larsson E, Adolfsson U. A prospective, randomized clinical study on the effects of an amine fluoride/ stannous fluoride toothpaste/mouthrinse on plaque, gingivitis and initial caries lesion development in orthodontic patients. Eur J Orthod. 2006;28:8-12.
Ristic M, Vlahovic Svabic M, Sasic M, Zelic O. Effects of fixed orthodontic appliances on subgingival microflora. Int J Dent Hyg. 2008;6:129-36.
Papageorgiou SN, Xavier GM, Cobourne MT, Eliades T. Effect of orthodontic treatment on the subgingival microbiota: A systematic review and meta-analysis. Orthod Craniofac Res. 2018;21:175-85.
Gray D, McIntyre G. Does oral health promotion influence the oral hygiene and gingival health of patients undergoing fixed appliance orthodontic treatment? A systematic literature review. J Orthod. 2008;35:262-9.
Chambrone L, Tatakis DN. Long-Term Outcomes of Untreated Buccal Gingival Recessions: A Systematic Review and Meta-Analysis. J Periodontol. 2016;87:796-808.
Schulz KF, Altman DG, Moher D. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMJ. 2010;340:c332.