Orthodontic treatment stability and periodontal condition with circumferential supracrestal fiberotomy: a systematic review

Authors

DOI:

https://doi.org/10.17533/udea.rfo.v31n1-2a11

Keywords:

Malocclusion, Periodontal disease, Orthodontics retainers, Recurrence, Systematic review

Abstract

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.

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Author Biographies

Sandra Patricia Castaño-Duque, Universidad El Bosque

DDS, School of Dentistry, Universidad de Antioquia. Specialist in Orthodontics; Specialist in Clinical Epidemiology; Specialist in Higher Education, Universidad El Bosque. Coordinator, Specialization in Orthodontics, Universidad El Bosque, Bogotá, Colombia. Assistant Professor, Universidad El Bosque.

Ingrid Isabel Mora-Díaz, Universidad El Bosque

DDS, School of Dentistry, Universidad El Bosque. Specialist in Periodontics and Oral Medicine, Universidad El Bosque, Bogotá, Colombia. Specialist in Clinical Epidemiology, Universidad de la Frontera, Chile. Associate Professor, Universidad El Bosque.

Sergio Iván Losada-Amaya, Universidad EL Bosque

DDS, School of Dentistry, Pontificia Universidad Javeriana. Specialist in Periodontics and Oral Medicine, Universidad El Bosque. Master’s Degree in Epidemiology, Universidad El Bosque, Bogotá, Colombia. Associate Professor, Universidad El Bosque.

Lina María Álvarez-Gómez, Universidad El Bosque

DDS, School of Dentistry, Universidad Santiago de Cali. Specialist in Orthodontics, Universidad El Bosque. Bogotá, Colombia

Lina Marcela Rengifo-Mosquera, Universidad El Bosque

DDS, School of Dentistry, Universidad Santiago de Cali, Valle del Cauca. Specialist in Orthodontics, Universidad El Bosque. Bogotá, Colombia.

Ángela Zerpa-Romandini, Universidad El Bosque

DDS, School of Dentistry, Universidad Gran Mariscal de Ayacucho, Venezuela. Specialist in Periodontics and Oral Medicine, Universidad El Bosque. Bogotá, Colombia.

Isaac Wasserman-Milhem, Universidad El Bosque

DDS, School of Dentistry, Universidad Nacional de Colombia. Bogotá, Colombia. Certificate in Orthodontics, New York University, USA

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Published

2019-12-17

How to Cite

Castaño-Duque, S. P., Mora-Díaz, I. I., Losada-Amaya, S. I., Álvarez-Gómez, L. M., Rengifo-Mosquera, L. M., Zerpa-Romandini, Ángela, & Wasserman-Milhem, I. (2019). Orthodontic treatment stability and periodontal condition with circumferential supracrestal fiberotomy: a systematic review. Revista Facultad De Odontología Universidad De Antioquia, 31(1-2), 122–135. https://doi.org/10.17533/udea.rfo.v31n1-2a11