Long-term Results of Treatment of Periodontal Diseases in Children in the Dynamics of Orthodontic Treatment with Fixed Appliances

Relevance. Abnormalities of tooth position and dentition are a risk factor for developing inflammatory periodontal lesions. Orthodontic treatment prevents the occurrence of gingivitis and the development of periodontitis in areas of abnormally positioned teeth. However, it should be noted that fixed orthodontic appliances sharply disrupt the state of oral hygiene, which can cause the development of inflammatory periodontal lesions—gingivitis. Poor oral hygiene was found in 45% of patients with a bracket system. Therefore, timely prevention and treatment of inflammatory gingival lesions (gingivitis) is of great importance for preventing the occurrence of further inflammatory periodontal lesions. Their effectiveness was monitored after 6 and 12 months and after removing fixed orthodontic appliances. Aim: to determine the effectiveness of long-term results of periodontal disease treatment in children in the dynamics of orthodontic treatment with fixed appliances. Material and methods. This study was conducted on two groups of children: the main and the control. They were divided into three subgroups according to the degree of gingivitis development. To determine the effectiveness of the proposed treatment and prevention complex, the periodontal condition was assessed in the dynamics of orthodontic treatment and after its completion by comparing the indicators in the subgroups A-o and A-k, B-o and B-k, C-o, and C-k. Long-term treatment results were monitored after 6 and 12 months and after removing fixed orthodontic appliances. Results. Determination of periodontal indices showed positive changes, which indicates the effectiveness of the use of the developed treatment and prevention complex in the long term after orthodontic treatment. Conclusions. Using the developed treatment and prevention complex in long-term follow-up allows reduced inflammatory manifestations in the gingiva in children during and in the long term after orthodontic treatment. Keywords: children, orthodontic treatment, gingivitis treatment, fixed orthodontic appliances, long-term results.