Posts Tagged: orthodontic treatment

Dec 11

Impact of Orthodontic Treatment on Oral Health-Related Quality of Life in Adults: Comparative Analysis of Different Appliance Types and Periodontal Status.

Anamaria Bud 1, Eugen Bud 1, Timea Dakó 1, Luminița Lazăr 1, Ana-Petra Lazăr 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania

Introduction. Orthodontic treatment plays an important role not only in improving dental function and appearance but also in influencing patients’ comfort and confidence in everyday life. These effects become even more relevant in patients with periodontal problems. The aim of the study was to evaluate how orthodontic treatment influences the oral health-related quality of life (OHRQoL) in adults and to explore its relationship with periodontal care and treatment characteristics.

Materials and methods: Adult patients who completed orthodontic treatment were evaluated using the short form of the Oral Health Impact Profile (OHIP-14) and a Visual Analogue Scale (VAS) for satisfaction. In our analysis, several factors such as gender, age, appliance type, treatment duration, and periodontal treatment were considered. Descriptive and comparative statistical tests were carried out, and a multivariate regression was then performed to find out which of these factors had the greatest influence on the OHIP-14 scores.

Results: The mean OHIP-14 total score was 11.2 ± 7.6, reflecting a favorable outcome. Among OHIP-14 domains, physical pain and psychological discomfort showed the highest impact. Patients treated with clear aligners showed significantly lower OHIP-14 scores and higher satisfaction compared with those wearing fixed appliances (p < 0.05). Periodontal treatment during orthodontic therapy was associated with improved OHRQoL and greater satisfaction. Regression analysis revealed that several clinical factors, such as the type of appliance, bracket material, treatment duration, and periodontal management, influenced OHIP-14 scores.

Conclusions: Adult patients with orthodontic treatment presented an improved function, higher comfort, and a better self-image. Clear aligner therapy and periodontal care were the main factors that increased quality of life.

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This entry was posted in Original paper, Volume 8, Issue 2, December 2025 on December 11, 2025
Dec 12

Periodontal soft tissue changes observed during orthodontic treatment with conventional metal fixed appliances.

Bădărău-Șuster Andrei-Mario 1, Zamfir Anca-Georgiana 1, Vlasa Alexandru 1, Coman Tatiana-Maria 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania

Introduction: We are currently seeing an increase in the number of patients seeking orthodontic treatment, many of whom are young adults. Besides the obvious advantages of orthodontic therapy, there are also some side effects that can be seen at the level of periodontal soft tissues, which can influence the final result. Aim of the study: The purpose of this study is to identify the main changes observed in the soft tissues during orthodontic treatment with fixed appliances (colour, size, position, texture of gingiva and shape of anterior interdental papillae), and to analyse them depending on individual clinical characteristics, gender and gingival phenotype. Material and Methods: 22 patients were included in this study – 12 women and 10 men, aged between 14 and 30 years, that presented to the Integrated Centre of Dental Medicine in Târgu Mureș, in the period 2019-2024, in search of orthodontic treatment. Results: The study found significant differences in gingival changes based on gender and gingival phenotype, with females showing more pronounced colour changes and gingival hypertrophy in the mandibular regions, and males exhibiting substantial gingival hypertrophy and colour changes, both in the frontal and lateral maxillary regions. Conclusions: This study shows gingival changes during orthodontic treatment that differ by gender and gingival phenotype. Thus, females with a thick gingival phenotype show distinct colour and size changes in the frontal mandibular region, whereas male patients tend to have more changes in the frontal and lateral maxillary regions, regardless of the gingival phenotype.

DOI: https://doi.org/10.62838/ASMJ.2024.2.02

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This entry was posted in Original paper, Volume 7, Issue 2, December 2024 on December 12, 2024
Sep 13

Periodontal soft tissue changes observed during orthodontic treatment with conventional metal fixed appliances.

Bădărău-Șuster Andrei-Mario 1, Zamfir Anca-Georgiana 1, Vlasa Alexandru 1, Coman Tatiana-Maria 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania

Introduction: We are currently seeing an increase in the number of patients seeking orthodontic treatment, many of whom are young adults. Besides the obvious advantages of orthodontic therapy, there are also some side effects that can be seen at the level of periodontal soft tissues, which can influence the final result. Aim of the study: The purpose of this study is to identify the main changes observed in the soft tissues during orthodontic treatment with fixed appliances (colour, size, position, texture of gingiva and shape of anterior interdental papillae), and to analyse them depending on individual clinical characteristics, gender and gingival phenotype. Material and Methods: 22 patients were included in this study – 12 women and 10 men, aged between 14 and 30 years, that presented to the Integrated Centre of Dental Medicine in Târgu Mureș, in the period 2019-2024, in search of orthodontic treatment. Results: The study found significant differences in gingival changes based on gender and gingival phenotype, with females showing more pronounced colour changes and gingival hypertrophy in the mandibular regions, and males exhibiting substantial gingival hypertrophy and colour changes, both in the frontal and lateral maxillary regions. Conclusions: This study shows gingival changes during orthodontic treatment that differ by gender and gingival phenotype. Thus, females with a thick gingival phenotype show distinct colour and size changes in the frontal mandibular region, whereas male patients tend to have more changes in the frontal and lateral maxillary regions, regardless of the gingival phenotype.

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This entry was posted in Original paper on September 13, 2024
Jan 10

Prevalence of nonsyndromic hypodontia in a south-east Transylvanian region

Ilinca Elena Suciu 1, Alexandru Zalana 1, Marius Hack 1, Mariana Păcurar 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania

Introduction. Clinicians claim that the prevalence of hypodontia has skyrocketed in recent years. However, there is no clear evidence whether it is really a change in dentition in Homo Sapiens or a purely hypothetical observation, due to the advanced modern technology used in the diagnosis of dento-maxillary anomalies.
The aim of this study was to establish the prevalence and distribution of nonsyndromic hypodontia in young patients from the South-East Transylvanian region of Romania.
Material and methods. A number of 325 dental charts were selected. The patients who needed orthodontic treatment were treated in the Pedodontics Department and Orthodontic Department of UMFST “George Emil Palade“ Targu Mures and two private dental offices during 2017-2019. The age of the patients was between 12 and 25 at the moment when the clinical and paraclinical examination were performed.
Results. From a total number of 275 cases investigated, 78 patients were diagnosed with hypodontia in permanent dentition, not taking into consideration the third molars. Hypodontia’s prevalence is 6.47% for patients which seek orthodontic treatment, without taking into consideration the third molars. This value is found in the range of 2.8%-11.3% reported in studies in the literature. The present study showed that hypodontia affects a greater proportion of females (6.83%) than males (5.74%), without statistically significant differences.
Conclusions. The prevalence of non-syndromic hypodontia in permanent dentition, compared to the total number of patients who requested orthodontic treatment, is 6.47%, being higher than the data reported in the literature of our country, but falls within the range reported in the international literature in general.

DOI: https://doi.org/10.2478/asmj-2021-0009

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This entry was posted in Original paper, Volume 4 Issue 2, December 2021 on January 10, 2022