Archwire ligation techniques, microbial colonization, and periodontal status in orthodontically treated patients

Hakan Turkkahraman, M. Özgür Sayin, F. Yȩim Bozkurt, Zuhal Yetkin, Selçuk Kaya, Süleyman Önal

Research output: Contribution to journalArticle

95 Citations (Scopus)

Abstract

Fixed or removable orthodontic appliances impede the maintenance of oral hygiene and result in plaque accumulation. Plaque retention surrounding orthodontic appliances leads to enamel demineralization caused by organic acids produced by bacteria in the dental plaque. Many studies have evaluated the effects of fixed orthodontic appliances on microbial flora and periodontal status, but only a few have evaluated the method of ligation as an additional factor. The aim of this study was to determine the changes in microbial flora and periodontal status after orthodontic bonding and to determine whether two different archwire ligation techniques affect these changes. A total of 21 orthodontic patients scheduled for fixed orthodontic treatment were selected for this split-mouth study. Two commonly used auxiliaries (elastomeric rings and ligature wires) for tying archwires were tested. Microbial and periodontal records were obtained before bonding (TO), one week later (T1), and five weeks after bonding (T2). Paired t-test and Wilcoxon signed rank test were used to compare the groups statistically. Although, teeth ligated with elastomeric rings exhibited slightly greater numbers of microorganisms than teeth ligated with steel ligature wires, the differences were not statistically significant and could be ignored. The two archwire ligation techniques showed no significant differences in the gingival index, bonded bracket plaque index, or pocket depths of the bonded teeth. However, teeth ligated with elastomeric rings were more prone to bleeding. Therefore, elastomeric ring use is not recommended in patients with poor oral hygiene.

Original languageEnglish (US)
Pages (from-to)231-236
Number of pages6
JournalAngle Orthodontist
Volume75
Issue number2
StatePublished - Mar 1 2005
Externally publishedYes

Fingerprint

Ligation
Tooth
Orthodontics
Orthodontic Appliances
Oral Hygiene
Removable Orthodontic Appliances
Periodontal Index
Dental Plaque
Steel
Dental Enamel
Nonparametric Statistics
Mouth
Maintenance
Hemorrhage
Bacteria
Acids
elastomeric
Therapeutics

Keywords

  • Elastomeric rings
  • Lactobacilli
  • Orthodontic appliances
  • Streptococcus mutans

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Archwire ligation techniques, microbial colonization, and periodontal status in orthodontically treated patients. / Turkkahraman, Hakan; Sayin, M. Özgür; Bozkurt, F. Yȩim; Yetkin, Zuhal; Kaya, Selçuk; Önal, Süleyman.

In: Angle Orthodontist, Vol. 75, No. 2, 01.03.2005, p. 231-236.

Research output: Contribution to journalArticle

Turkkahraman, H, Sayin, MÖ, Bozkurt, FY, Yetkin, Z, Kaya, S & Önal, S 2005, 'Archwire ligation techniques, microbial colonization, and periodontal status in orthodontically treated patients', Angle Orthodontist, vol. 75, no. 2, pp. 231-236.
Turkkahraman, Hakan ; Sayin, M. Özgür ; Bozkurt, F. Yȩim ; Yetkin, Zuhal ; Kaya, Selçuk ; Önal, Süleyman. / Archwire ligation techniques, microbial colonization, and periodontal status in orthodontically treated patients. In: Angle Orthodontist. 2005 ; Vol. 75, No. 2. pp. 231-236.
@article{622503940b4f4bd6b4d2c3f7fb46c7c1,
title = "Archwire ligation techniques, microbial colonization, and periodontal status in orthodontically treated patients",
abstract = "Fixed or removable orthodontic appliances impede the maintenance of oral hygiene and result in plaque accumulation. Plaque retention surrounding orthodontic appliances leads to enamel demineralization caused by organic acids produced by bacteria in the dental plaque. Many studies have evaluated the effects of fixed orthodontic appliances on microbial flora and periodontal status, but only a few have evaluated the method of ligation as an additional factor. The aim of this study was to determine the changes in microbial flora and periodontal status after orthodontic bonding and to determine whether two different archwire ligation techniques affect these changes. A total of 21 orthodontic patients scheduled for fixed orthodontic treatment were selected for this split-mouth study. Two commonly used auxiliaries (elastomeric rings and ligature wires) for tying archwires were tested. Microbial and periodontal records were obtained before bonding (TO), one week later (T1), and five weeks after bonding (T2). Paired t-test and Wilcoxon signed rank test were used to compare the groups statistically. Although, teeth ligated with elastomeric rings exhibited slightly greater numbers of microorganisms than teeth ligated with steel ligature wires, the differences were not statistically significant and could be ignored. The two archwire ligation techniques showed no significant differences in the gingival index, bonded bracket plaque index, or pocket depths of the bonded teeth. However, teeth ligated with elastomeric rings were more prone to bleeding. Therefore, elastomeric ring use is not recommended in patients with poor oral hygiene.",
keywords = "Elastomeric rings, Lactobacilli, Orthodontic appliances, Streptococcus mutans",
author = "Hakan Turkkahraman and Sayin, {M. {\"O}zg{\"u}r} and Bozkurt, {F. Yȩim} and Zuhal Yetkin and Sel{\cc}uk Kaya and S{\"u}leyman {\"O}nal",
year = "2005",
month = "3",
day = "1",
language = "English (US)",
volume = "75",
pages = "231--236",
journal = "Angle Orthodontist",
issn = "0003-3219",
publisher = "E H Angle Orthodontists Research & Education Foundation, Inc.",
number = "2",

}

TY - JOUR

T1 - Archwire ligation techniques, microbial colonization, and periodontal status in orthodontically treated patients

AU - Turkkahraman, Hakan

AU - Sayin, M. Özgür

AU - Bozkurt, F. Yȩim

AU - Yetkin, Zuhal

AU - Kaya, Selçuk

AU - Önal, Süleyman

PY - 2005/3/1

Y1 - 2005/3/1

N2 - Fixed or removable orthodontic appliances impede the maintenance of oral hygiene and result in plaque accumulation. Plaque retention surrounding orthodontic appliances leads to enamel demineralization caused by organic acids produced by bacteria in the dental plaque. Many studies have evaluated the effects of fixed orthodontic appliances on microbial flora and periodontal status, but only a few have evaluated the method of ligation as an additional factor. The aim of this study was to determine the changes in microbial flora and periodontal status after orthodontic bonding and to determine whether two different archwire ligation techniques affect these changes. A total of 21 orthodontic patients scheduled for fixed orthodontic treatment were selected for this split-mouth study. Two commonly used auxiliaries (elastomeric rings and ligature wires) for tying archwires were tested. Microbial and periodontal records were obtained before bonding (TO), one week later (T1), and five weeks after bonding (T2). Paired t-test and Wilcoxon signed rank test were used to compare the groups statistically. Although, teeth ligated with elastomeric rings exhibited slightly greater numbers of microorganisms than teeth ligated with steel ligature wires, the differences were not statistically significant and could be ignored. The two archwire ligation techniques showed no significant differences in the gingival index, bonded bracket plaque index, or pocket depths of the bonded teeth. However, teeth ligated with elastomeric rings were more prone to bleeding. Therefore, elastomeric ring use is not recommended in patients with poor oral hygiene.

AB - Fixed or removable orthodontic appliances impede the maintenance of oral hygiene and result in plaque accumulation. Plaque retention surrounding orthodontic appliances leads to enamel demineralization caused by organic acids produced by bacteria in the dental plaque. Many studies have evaluated the effects of fixed orthodontic appliances on microbial flora and periodontal status, but only a few have evaluated the method of ligation as an additional factor. The aim of this study was to determine the changes in microbial flora and periodontal status after orthodontic bonding and to determine whether two different archwire ligation techniques affect these changes. A total of 21 orthodontic patients scheduled for fixed orthodontic treatment were selected for this split-mouth study. Two commonly used auxiliaries (elastomeric rings and ligature wires) for tying archwires were tested. Microbial and periodontal records were obtained before bonding (TO), one week later (T1), and five weeks after bonding (T2). Paired t-test and Wilcoxon signed rank test were used to compare the groups statistically. Although, teeth ligated with elastomeric rings exhibited slightly greater numbers of microorganisms than teeth ligated with steel ligature wires, the differences were not statistically significant and could be ignored. The two archwire ligation techniques showed no significant differences in the gingival index, bonded bracket plaque index, or pocket depths of the bonded teeth. However, teeth ligated with elastomeric rings were more prone to bleeding. Therefore, elastomeric ring use is not recommended in patients with poor oral hygiene.

KW - Elastomeric rings

KW - Lactobacilli

KW - Orthodontic appliances

KW - Streptococcus mutans

UR - http://www.scopus.com/inward/record.url?scp=16244392133&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=16244392133&partnerID=8YFLogxK

M3 - Article

VL - 75

SP - 231

EP - 236

JO - Angle Orthodontist

JF - Angle Orthodontist

SN - 0003-3219

IS - 2

ER -