ORTHODONTIC TREATMENT STABILITY AND PERIODONTAL CONDITION WITH CIRCUMFERENTIAL SUPRACRESTAL FIBEROTOMY: A SYSTEMATIC REVIEW
Introduction: stability is one of the main goals of orthodontic treatment, and circumferential supracrestal fiberotomy is an alternative to prevent relapse in cases of tooth rotation, crowding and inclined teeth. However, there are no studies demonstrating the effectiveness of this treatment and its effects on the periodontal condition. The aim of this systematic review (SR) was to evaluate the effectiveness of circumferential supracrestal fiberotomy (CSF) as an adjuvant in the stability of orthodontic treatment during retention and its effects on the periodontal condition once it has been performed. Methods: the search for topic-related studies was conducted on the PubMed and EMBASE databases until October 2018. The studies were considered eligible if they covered the use of CSF during the retention period and reported the periodontal condition in a follow-up period longer than or equal to 1 year. For bias-risk assessment in the chosen studies, the Newcastle-Ottawa Scale was applied to observational studies, and the Cochrane Collaboration tool for Randomized Clinical Trials (RCTs) and Controlled Clinical Trials (CCTs). Results: the search strategy yielded 85 potential eligible articles, of which 5 were included in the SR. Four of the five studies reported a lower irregularity rate in patients who had CSF when compared to a control group. No changes in plaque index, gingival index, insertion levels, probe depth and keratinized gingiva amount were reported. Conclusions: fiberotomy is an effective method to prevent relapse of previously rotated teeth and does not cause periodontal alterations. However, it is important to note that the studies’ methodological quality was low.
Bishara SE, Jakobsen JR, Treder J, Nowak A. Arch width changes from 6 weeks to 45 years of age. Am J Orthod Dentofacial Orthop. 1997; 111(4): 401-9.
Moyers RE. Handbook of orthodontics for the student and general practitioner. 3rd ed. Chicago: Year Book Medical Publishers; 1973.
Graber TM, Swain BF. Current orthodontic concepts and techniques. 2nd ed. Philadelphia: W.B. Saunders Company; 1975.
Blake M, Bibby K. Retention and stability: a review of the literature. Am J Orthod Dentofacial Orthop. 1998; 114(3): 299-306.
Boese LR. Fiberotomy and reproximation without lower retention 9 years in retrospect: part II. Angle Orthod. 1980; 50(3): 169-78. DOI: https://doi.org/10.1043/0003-3219(1980)050%3C0169:FARWLR%3E2.0.CO;2
Edwards JG. A study of the periodontium during orthodontic rotation of teeth. Am J Orthod. 1968; 54(6): 441-61.
Wang Z, Huang C, Han L. Prognosis of utility of modified supracrestal fiberotomy and contact point reapproximation in the treatment of anterior segment crowding. West China J Stomatol. 2003; 21(1): 36-8.
Ortega GML. Recidiva Oral. Revista Oral. 2006; 7(21): 326-34.
Edwards JG. A surgical procedure to eliminate rotational relapse. Am J Orthod. 1970; 57(1): 35-46.
Meng M, Lv C, Yang Q, He S, Wu S, Liu Y et al. Expression of proteins of elastic fibers and collagen type I in orthodontically rotated teeth in rats. Am J Orthod Dentofacial Orthop. 2018; 154(2): 249-59. DOI: https://doi.org/10.1016/j.ajodo.2017.11.030
Tanner TU, Haydar B, Kavuklu I, Korkmaz A. Short-term effects of fiberotomy on relapse of anterior crowding. Am J Orthod Dentofacial Orthop. 2000; 118(6): 617-23. DOI: https://doi.org/10.1067/mod.2000.110637
Edwards JG. A long-term prospective evaluation of the circumferential supracrestal fiberotomy in alleviating orthodontic relapse. Am J Orthod Dentofacial Orthop. 1988; 93(5): 380-87.
Hansson C, Linder-Aronson S. Periodontal health following fibrotomy of the supra-alveolar fibers. Scand J Dent Res. 1976; 84(1): 11-5. DOI: https://doi.org/10.1111/j.1600-0722.1976.tb00455.x
Kaplan RG. Clinical experiences with circumferential supracrestal fiberotomy. Am J Orthod. 1976; 70(2):146-53.
Little RM. The irregularity index: a quantitative score of mandibular anterior alignment. Am J Orthod. 1975; 68(5): 554-63.
Rye WD. A Long-Term Assessment of the Clinical Efficacy of the Fiberotomy as it Relates to Rotational Relapse. Master’s thesis. Washington: University of Washington;1983.
Loe H, Silness J. Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand. 1963; 21: 533-51.
Silness J, Loe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand. 1964; 22: 121-35.
Bosshardt D, Lang NP. The junctional epithelium from health to disease. J Dent Res. 2005; 84(1): 9-20. DOI: https://doi.org/10.1177/154405910508400102
Wells GA, Shea B, O’Connell D, Peterson J, Welch V, Losos M et al. The Newcastle Ottawa Scale (NOS) for assessing the quality if nonrandomized studies in meta-analyses. [Internet]. Available in: http://www.ohri.ca/programs/clinical_epidemiology/oxford.htm.
How Kau C. Orthodontic retention regimes: will we ever have the answer? Evid Based Dent. 2006; 7(4): 100. DOI: https://doi.org/10.1038/sj.ebd.6400448
Littlewood SJ, Millett DT, Doubieday B, Beam DR, Worthington HV. Orthodontic retention: a systematic review. J Orthod. 2006; 33(3): 205-12. DOI: https://doi.org/10.1179/146531205225021624
Ahrens DG, Shapira Y, Kuftinec MM. An approach to rotational relapse. Am J Orthod. 1981; 80(1): 83-91.
Crum RE, Andreasen GF. The effect of gingival fiber surgery on the retention of rotated teeth. Am J Orthod.
; 65(6): 626-37. DOI: https://doi.org/10.1016/0002-9416(74)90257-7
Rinaldi SA. Changes in free gingival level and sulcus depth of the human periodontium following circumferential supracrestal fiberotomy. Am J Orthod. 1979; 75(1): 46-53.
Shekar S, Bhagyalakshmi A, Chandrashekar B R, Avinash B S. Periodontal considerations during orthodontic treatment. Indian J Oral Health Res. 2017; 3(1): 1-8. DOI: https://doi.org/10.4103/ijohr.ijohr_25_17
Reitan K. Principles of retention and avoidance of posttreatment relapse. Am J Orthod. 1969; 55(6): 776-90.
Proffit WR. Contemporary orthodontics. St. Louis: Mosby Company; 1986.
Jahanbin A, Ramazanzadeh B, Ahrari F, Forouzanfar A, Beidokhti M. Effectiveness of Er:YAG laser-aided fiberotomy and low-level laser therapy in alleviating relapse of rotated incisors. Am J Orthod Dentofacial Orthop. 2014; 146(5): 565-72. DOI: https://doi.org/10.1016/j.ajodo.2014.07.006
Kim S, Paek J, Park K, Kang S, Park Y. Laser-aided circumferential supracrestal fiberotomy and low-level
laser therapy effects on relapse of rotated teeth in beagles. Angle Orthod. 2010; 80(2): 385-90. DOI: https://doi.org/10.2319/051609-268.1
Fricke LL, Rankine CAN. Comparison of electrosurgery with conventional fiberotomies on rotational relapse and gingival tissue in the dog. Am J Orthod Dentofacial Orthop. 1990; 97(5): 405-12. DOI: https://doi.org/10.1016/0889-5406(90)70112-P
Chaudhry Z, Gupta SR, Oberoi SS. The efficacy of ErCr: YSGG laser fibrotomy in management of moderate
oral submucous fibrosis: a preliminary study. J Maxillofac Oral Surg. 2014; 13(3): 286-94. DOI: https://doi.org/10.1007/s12663-013-0511-x
Lee J, Park K, Chung J, Kim S. Effects of laser-aided circumferential supracrestal fiberotomy on root surfaces.
Angle Orthod. 2011; 81(6): 1021-7. DOI: https://doi.org/10.2319/121710-727.1
Sant’Anna EF, Araújo MTS, Nojima LI, Cunha AC, Silveira BL, Marquezan M. High-intensity laser application in orthodontics. Dental Press J Orthod. 2017; 22(6): 99-109. DOI: https://doi.org/10.1590/2177-6709.22.6.099-109.sar
Seifi M, Matini NS. Laser surgery of soft tissue in orthodontics: review of the clinical trials. J Lasers Med Sci.
; 8(Suppl 1): S1-6. DOI: https://dx.doi.org/10.15171%2Fjlms.2017.s1
Faramarz M, Rikhtegaran S, Biroon SH. Effectiveness of nd: YAG laser fiberotomy in clinical crown lengthening by forced eruption. Int J Periodontics Restorative Dent. 2017; 37(2): 211-17. DOI: https://doi.org/10.11607/prd.2567
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