Adult periodontal comparison after treatment of palatally impacted canines aligned by conventional or accelerated minimally-invasive corticotomy-assisted orthodontic traction: A randomized controlled trial

Mahran Raheel Mousa; Mohammad Y Hajeer; Ahmad S Burhan; Omar Heshmeh

doi:10.1016/j.ortho.2023.100785

Adult periodontal comparison after treatment of palatally impacted canines aligned by conventional or accelerated minimally-invasive corticotomy-assisted orthodontic traction: A randomized controlled trial

Int Orthod. 2023 Sep;21(3):100785. doi: 10.1016/j.ortho.2023.100785. Epub 2023 Jun 15.

Authors

Mahran Raheel Mousa¹, Mohammad Y Hajeer², Ahmad S Burhan¹, Omar Heshmeh³

Affiliations

¹ Department of Orthodontics, University of Damascus, Faculty of Dentistry, Damascus, Syria.
² Department of Orthodontics, University of Damascus, Faculty of Dentistry, Damascus, Syria. Electronic address: myhajeer@gmail.com.
³ Department of Oral and Maxillofacial Surgery, University of Damascus Faculty of Dentistry, Damascus, Syria.

PMID: 37329591
DOI: 10.1016/j.ortho.2023.100785

Abstract

Objective: To compare the post-treatment periodontal status of the palatally impacted canines and their adjacent teeth treated by an accelerated minimally-invasive corticotomy-assisted method versus the conventional traction method.

Material and methods: A parallel-group two-arm randomized controlled trial was conducted on patients with palatally or mid-alveolar unilateral impacted canines. Participants were randomly selected and allocated to receive the conventional treatment (CT) with a closed surgical approach, or accelerated treatment (CAT). The evaluated periodontal variables were periodontal pocket depth (PPD), keratinized tissue width (KTW), gingival recession level (GRL), papillary bleeding index (PBI) and Gingival Index (GI). All post-treatment periodontal measurements were performed two weeks after removing the fixed orthodontic appliance.

Results: In total, 46 patients were included (CT group: n=23; mean age: 20.26±2.17 years), or accelerated treatment (CAT group: n=23; mean age: 20.39±2.27 years). The differences between the two study groups were non-significant for all periodontal outcomes at all measurement points (P>.05). The mean total values of PPD around the aligned canine did not exceed 2mm (X_PPD=1.99±0.25mm; 1.91±0.26mm, in the CT and CAT group, respectively, P=0.677). The results of total values of PPD on the adjacent teeth were nearly similar in the two study groups (mean difference: 0.12mm; 0.02mm, for the lateral incisor and the first premolar, respectively). Very low GRL values were detected in the two study groups.

Conclusions: The use of corticotomy-assisted method did not impair the periodontal health in the short follow-up term. Both treatment modalities are considered acceptable in terms of post-treatment periodontal outcomes, as the gingival indices levels were at low values.

Keywords: Acceleration; Forced eruption; Orthodontic treatment; Palatally impacted canine; Periodontal index; Periodontal status.

Publication types

Randomized Controlled Trial

MeSH terms

Cuspid / surgery
Gingival Recession*
Head
Humans
Tooth, Impacted* / surgery
Treatment Outcome