Longitudinal Characterization of Gingival Microbiota Following Periodontally Accelerated Osteogenic Orthodontics Surgery in Skeletal Class III Orthognathic Patients

In this pilot repeated-measures cohort, PAOO combined with early orthodontic force was associated with distinct temporal changes in the GCF microbiome while maintaining overall periodontal stability and increasing keratinized gingiva width. Predicted functional shifts may be relevant to host responses during early healing; however, mechanistic inferences require confirmation in larger longitudinal studies.