RT Journal Article
T1 Effect of orthodontic therapy in periodontitis and non‐periodontitis patients: a systematic review with meta‐analysis
A1 Martín Álvaro, María Concepción
A1 Celis, Beatriz
A1 Ambrosio Elejalde, Nagore
A1 Bollain, Juan
A1 Antonoglou, Georgios N.
A1 Figuero Ruiz, Elena
AB AimTo answer these PICO questions:#1: In adult patients with malocclusion, what are the effects of orthodontic tooth movement (OTM) on clinical attachment level (CAL) changes in treated periodontitis patients with a healthy but reduced periodontium compared to non‐periodontitis patients?#2: In adult patients with treated periodontitis and malocclusion, which is the efficacy of skeletal anchorage devices compared to conventional systems in terms of orthodontic treatment outcomes?Material and methodsSeven databases were searched until June 2020 looking for randomized, non‐randomized trials and case series. Mean effects (ME) and 95% confidence intervals (CIs) were calculated.ResultsTwenty‐six studies with high risk of bias were included.PICO#1: In 26 patients without periodontitis and in 69 treated periodontitis patients, minimal changes in periodontal outcomes were reported after orthodontic therapy (p > 0.05). A significant CAL gain (mm) (ME = 3.523; 95% CI [2.353; 4.693]; p < 0.001) was observed in 214 patients when periodontal outcomes were retrieved before a combined periodontal and orthodontic therapy.PICO#2: Orthodontic variables were scarcely reported, and objective assessment of the results on orthodontic therapy was missing.ConclusionsBased on a small number of low‐quality studies, in non‐periodontitis and in stable treated periodontitis patients, OTM had no significant impact on periodontal outcomes.
PB Wiley
SN 0303-6979
SN 1600-051X
YR 2021
FD 2021-11-22
LK https://hdl.handle.net/20.500.14352/114600
UL https://hdl.handle.net/20.500.14352/114600
LA eng
NO Martin, C., Celis, B., Ambrosio, N., Bollain, J., Antonoglou, G.N. and Figuero, E. (2022), Effect of orthodontic therapy in periodontitis and non-periodontitis patients: a systematic review with meta-analysis. J Clin Periodontol, 49: 72-101. https://doi.org/10.1111/jcpe.13487
DS Docta Complutense
RD 18 abr 2025