European Journal of Molecular & Clinical Medicine

Abstract

Background: The transmission of orthodontic forces through the stressed tissue matrix onto the local cells within the periodontal ligament and alveolar bone, stimulate the cells to release proinflammatory, angiogenic and osteogenic agents that activates the process of periodontal ligament and alveolar bone remodelling. Studies have suggested that orthodontic therapy when not fully controlled, may influence the process of inflammation and the destruction of periodontium leading to increased loss of attachment.
Objective: To evaluate updated scientific evidence on the relationship between fixed orthodontic therapy and periodontal health.
Methods: A systematic literature search was performed using the Pubmed and other databases with keywords “orthodontic” and “periodontal” based on PRISMA 2020 guidelines. Articles published from January 2000 to September 2022 were included. The studies that satisfied the inclusion criteria were evaluated and classified as having low, moderate, or high methodology quality.
Results: 12 articles were selected from a total of 864 searched articles after assessing the quality using cochrane ROB 2 assessment tool.
Conclusions: The present systematic analysis suggests that there is moderate scientific evidence that a fixed appliance influences periodontal status; no article reported a high score