Comparative study between the influence of fixed and mobile orthodontic appliances on the oral microbiota

Authors

DOI:

https://doi.org/10.33448/rsd-v12i1.39448

Keywords:

Orthodontic appliances; Orthodontic Appliances, Fixed; Orthodontic Appliances, Mobile; Oral health; Oral microbiota.

Abstract

Orthodontic appliances fixed and mobile are used for the treatment of malocclusion, dental corrections, problems in arch development and growth and for aesthetic reasons. Therapies performed with these devices can affect the oral microbiota resulting in a series of effects on oral health. There is a large discrepancy when we compare the types of appliances and their implications on the oral microbiota, with fixed appliances being the ones that affect the most, by the difficulty of cleaning they provide and by the bigger force exerted on the periodontium. This literature review aims to detail the secondary effects of the use of orthodontic appliances in the constitution of the oral microbial community. This is a descriptive bibliographic study of the narrative review type. Using the descriptors "Orthodontic Appliances, Fixed", "Orthodontics", "Microbiota" and "Periodontal Diseases", a search was performed on the digital platforms VHL, Capes, SciELO and PubMed using the Boolean operators “AND” and “OR”. From a total of 31 works 6, 29 were selected in Portuguese, English and Spanish, dating between 2014 and 2022. It was found that by the difficulty in cleaning and the greater force exerted on the periodontium results in changes in the growth rate of certain species of bacteria and fungi, being variable according to the time of use, presence of biofilm, development of caries and involvement of periodontal diseases.

References

Alfuriji, S., Alhazmi, N., Alhamlan, N., Al-Ehaideb, A., Alruwaithi, M., Alkatheeri, N., & Geevarghese, A. (2014). The effect of orthodontic therapy on periodontal health: A review of the literature. International Journal of Dentistry, 2014, 1–8. https://doi.org/10.1155/2014/585048.

Baherimoghadam, T., Naseri, N., Hamedani, S., Nikmehr, S., & Mokhtar, M. (2022). Influence of multimedia reminders on oral hygiene status during removable orthodontic treatment: A randomized controlled trial. Journal of Orthodontic Science, 11(1), 27. https://doi.org/10.4103/jos.jos_193_21.

Belibasakis, G. N., Bostanci, N., Marsh, P. D., & Zaura, E. (2019). Applications of the oral microbiome in personalized dentistry. Archives of Oral Biology, 104, 7–12. https://doi.org/10.1016/j.archoralbio.2019.05.023.

Buschang, P. H., Chastain, D., Keylor, C. L., Crosby, D., & Julien, K. C. (2019). Incidence of white spot lesions among patients treated with clear aligners and traditional braces. The Angle orthodontist, 89(3), 359–364. https://doi.org/10.2319/073118-553.1.

Cardoso, M. d. A., Saraiva, P. P., Maltagliati, L. Á., Rhoden, F. K., Costa, C. C. A., Normando, D., & Capelozza Filho, L. (2015). Alterations in plaque accumulation and gingival inflammation promoted by treatment with self-ligating and conventional orthodontic brackets. Dental Press Journal of Orthodontics, 20(2), 35–41. https://doi.org/10.1590/2176-9451.20.2.035-041.oar.

Choi, Y. Y. (2019). Relationship between orthodontic treatment and dental caries: Results from a national survey. International Dental Journal, 70(1), 38–44. https://doi.org/10.1111/idj.12515.

Contaldo, M., Lucchese, A., Lajolo, C., Rupe, C., Di Stasio, D., Romano, A., Petruzzi, M., & Serpico, R. (2021). The oral microbiota changes in orthodontic patients and effects on oral health: An overview. Journal of Clinical Medicine, 10(4), 780. https://doi.org/10.3390/jcm10040780.

Ficho, A. C., Capistrano, A., Castro, R. C. F., Cardoso, M. A., & Almeida-Pedrin, R. R. d. (2014). Avaliação da higiene bucal em pacientes ortodônticos. OrtodontiaSPO, 47(5), 421–31. http://capistranoodontologia.com.br/wp-content/uploads/2016/01/04higienizacao-na-ortodontia.pdf.

Freitas, A. O. A. d., Marquezan, M., Nojima, M. d. C. G., Alviano, D. S., & Maia, L. C. (2014). The influence of orthodontic fixed appliances on the oral microbiota: A systematic review. Dental Press Journal of Orthodontics, 19(2), 46–55. https://doi.org/10.1590/2176-9451.19.2.046-055.oar.

Freitas, L. R. P., & Oliveira, D. D. (2021). Orthodontic retreatment: Positive effects on the patient’s self-esteem and quality of life. Dental Press Journal of Orthodontics, 26(5). https://doi.org/10.1590/2177-6709.26.5.e21bbo5.

Germano, V. E., Xavier, C. M. R., Jales, M. M. S., Albuquerque, T. V. G., Lima, E. L. F., & Ribeiro, L. H. (2018). Microrganismos habitantes da cavidade oral e sua relação com patologias orais e sistêmicas: Revisão de literatura. Revista de Ciências da Saúde Nova Esperança, 16(2), 91–99. https://doi.org/10.17695/issn.2317-7160.v16n2a2018p91-99.

Guo, R., Liu, H., Li, X., Yang, Q., Jia, L., Zheng, Y., & Li, W. (2018). Subgingival microbial changes during the first 3 months of fixed appliance treatment in female adult patients. Current Microbiology, 76(2), 213–221. https://doi.org/10.1007/s00284-018-1610-1.

Hernández-Solís, S. E., Rueda-Gordillo, F., Flota-Alcocer, A. D., Aguilar-Ayala, F. J., Rodríguez-Fernández, M. D. S. & Lama-González, E. M. (2016). Influencia de la aparatología ortodóntica sobre la ocurrencia de Candida spp. en la cavidad oral. Rev Chilena Infectol, 33(3), 293–297.

Jiang, Q., Li, J., Mei, L., Du, J., Levrini, L., Abbate, G. M., & Li, H. (2018). Periodontal health during orthodontic treatment with clear aligners and fixed appliances: A meta-analysis. Journal of the American Dental Association (1939), 149(8), 712–720.e12. https://doi.org/10.1016/j.adaj.2018.04.010.

Jing, D., Hao, J., Shen, Y., Tang, G., Lei, L., & Zhao, Z. (2019). Effect of fixed orthodontic treatment on oral microbiota and salivary proteins. Experimental and therapeutic medicine, 17(5), 4237–4243. https://doi.org/10.3892/etm.2019.7401.

Kilian, M., Chapple, I. L. C., Hannig, M., Marsh, P. D., Meuric, V., Pedersen, A. M. L., Tonetti, M. S., Wade, W. G., & Zaura, E. (2016). The oral microbiome – an update for oral healthcare professionals. British Dental Journal, 221(10), 657–666. https://doi.org/10.1038/sj.bdj.2016.865.

Lucchese, A., Bondemark, L., Marcolina, M., & Manuelli, M. (2018). Changes in oral microbiota due to orthodontic appliances: A systematic review. Journal of Oral Microbiology, 10(1), 1476645. https://doi.org/10.1080/20002297.2018.1476645.

Mei, L., Chieng, J., Wong, C., Benic, G., & Farella, M. (2017). Factors affecting dental biofilm in patients wearing fixed orthodontic appliances. Progress in Orthodontics, 18(1). https://doi.org/10.1186/s40510-016-0158-5.

Mendes, K. D. S., Silveira, R. C. d. C. P., & Galvão, C. M. (2008). Revisão integrativa: Método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm, 17(4), 758–64.

Monte, D. O. do, Lima, P. R. de, Machado, R. de M. A., & Correia, A. A. (2015). Conscientização da Higienização bucal na população Brasileira. Caderno De Graduação - Ciências Biológicas E Da Saúde - UNIT - PERNAMBUCO, 2(2), 53–60. Recuperado de https://periodicos.set.edu.br/facipesaude/article/view/3065.

Pacheco-Pereira, C., Brandelli, J., & Flores-Mir, C. (2018). Patient satisfaction and quality of life changes after Invisalign treatment. American Journal of Orthodontics and Dentofacial Orthopedics, 153(6), 834–841. https://doi.org/10.1016/j.ajodo.2017.10.023.

Palmer, R. J., Jr. (2014). Composition and development of oral bacterial communities. Periodontology 2000, 64(1), 20–39. https://doi.org/10.1111/j.1600-0757.2012.00453.x.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica.. Santa Maria. Ed. UAB/NTE/UFSM. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1&isAllowed=y.

Perkowski K, Baltaza W, Conn DB, Marczyńska-Stolarek M, Chomicz L. Examination of oral biofilm microbiota in patients using fixed orthodontic appliances in order to prevent risk factors for health complications. Annals of Agricultural and Environmental Medicine. 2019, 26(2): 231–235. https://doi.org/10.26444/aaem/105797.

Pinto, A. S., Alves, L. S., Maltz, M., & Zenkner, J. E. d. A. (2021). Association between fixed orthodontic treatment and dental caries: A 1-year longitudinal study. Brazilian Oral Research, 35. https://doi.org/10.1590/1807-3107bor-2021.vol35.0002.

Santonocito, S., Giudice, A., Polizzi, A., Troiano, G., Merlo, E. M., Sclafani, R., Grosso, G., & Isola, G. (2022). A cross-talk between diet and the oral microbiome: Balance of nutrition on inflammation and immune system’s response during periodontitis. Nutrients, 14(12), 2426. https://doi.org/10.3390/nu14122426.

Sanz-Orrio-Soler, I., Arias de Luxán, S., & Sheth, C. C. (2020). Oral colonization by Candida species in orthodontic patients before, during and after treatment with fixed appliances: A prospective controlled trial. Journal of clinical and experimental dentistry, 12(11), e1071–e1077. https://doi.org/10.4317/jced.57565.

Verrusio C, Iorio-Siciliano V, Blasi A, Leuci S, Adamo D, Nicolò M. (2018). The effect of orthodontic treatment on periodontal tissue inflammation: A systematic review. Quintessence Int, 49(1), 69‐77. https://doi.org/10.3290/j.qi.a39225.

Wang, Q., Ma, J.-b., Wang, B., Zhang, X., Yin, Y.-l., & Bai, H. (2019). Alterations of the oral microbiome in patients treated with the Invisalign system or with fixed appliances. American Journal of Orthodontics and Dentofacial Orthopedics, 156(5), 633–640. https://doi.org/10.1016/j.ajodo.2018.11.017.

Wu, Y., Cao, L., & Cong, J. (2020). The periodontal status of removable appliances vs fixed appliances: A comparative meta-analysis. Medicine, 99(50), e23165. https://doi.org/10.1097/MD.0000000000023165.

Zivkovic-Sandic, M., Popovic, B., Carkic, J., Nikolic, N., & Glisic, B. (2014). Changes in subgingival microflora after placement and removal of fixed orthodontic appliances. Srpski arhiv za celokupno lekarstvo, 142(5-6), 301–305. https://doi.org/10.2298/sarh1406301z.

Published

04/01/2023

How to Cite

MARCOS , Ângela M. da S. .; BARBOSA, E. C. de A. .; PAES, G. da S. .; SILVA, J. V. L. da .; ALBUQUERQUE, M. E. de M. S. .; ALCÂNTARA, A. C. F. de .; PAZ JÚNIOR, F. B. da .; FREITAS, L. R. .; GUARANÁ, C. F. R. .; PAZ, E. S. L. da . Comparative study between the influence of fixed and mobile orthodontic appliances on the oral microbiota. Research, Society and Development, [S. l.], v. 12, n. 1, p. e11312139448, 2023. DOI: 10.33448/rsd-v12i1.39448. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/39448. Acesso em: 3 feb. 2023.

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Section

Health Sciences