Changes in subgingival microflora in patients with fixed orthodontic appliances

ABSTRACT Introduction: Fixed orthodontic therapy is often accompanied by accumulation of plaque around the orthodontic brackets, which increases the number of periodontopathogenic bacteria. Objective: The objective of this study was to determine the changes in the subgingival microflora that occur...

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Main Authors: Adriana ARBUTINA, Irena Kuzmanović RADMAN, Mirjana UMIĆEVIĆ-DAVIDOVIĆ, Marijana ARAPOVIĆ-SAVIĆ, Aleksandra ĐERI, Radmila ARBUTINA, Saša MARIN, Renata JOSIPOVIĆ, Nataša TRTIĆ
Format: Article
Language:English
Published: Dental Press Editora 2025-04-01
Series:Dental Press Journal of Orthodontics
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512025000100306&lng=en&tlng=en
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author Adriana ARBUTINA
Irena Kuzmanović RADMAN
Mirjana UMIĆEVIĆ-DAVIDOVIĆ
Marijana ARAPOVIĆ-SAVIĆ
Aleksandra ĐERI
Radmila ARBUTINA
Saša MARIN
Renata JOSIPOVIĆ
Nataša TRTIĆ
author_facet Adriana ARBUTINA
Irena Kuzmanović RADMAN
Mirjana UMIĆEVIĆ-DAVIDOVIĆ
Marijana ARAPOVIĆ-SAVIĆ
Aleksandra ĐERI
Radmila ARBUTINA
Saša MARIN
Renata JOSIPOVIĆ
Nataša TRTIĆ
author_sort Adriana ARBUTINA
collection DOAJ
description ABSTRACT Introduction: Fixed orthodontic therapy is often accompanied by accumulation of plaque around the orthodontic brackets, which increases the number of periodontopathogenic bacteria. Objective: The objective of this study was to determine the changes in the subgingival microflora that occurred six months after the placement of a fixed orthodontic appliance. Methods: The study included 30 patients aged 13 to 35 years, in whom samples of subgingival plaque were taken before and six months after the start of fixed orthodontic therapy from the disto-buccal subgingival space of the left upper (U1) and lower central incisors (L1), mesio-buccal subgingival space of left upper (U6) and lower (L6) first molars. Material samples were tested for the presence of the following bacteria: Tannarela forsythia, Treponema denticola, Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans, Prevotella intermedia, Prevotella nigrescens and Eikenella corrodens, using the PCR method. Results: A significant increase of patients with presence of bacteria especially in the molar region was found: Tannarela forsythia (U6 T1 10%-T2 80%, L6 T1 16.67%-T2 80%), Porphyromonas gingivalis (U6 T1 60%-T2 90%, L6 T1 60%-T2 83.33%), Prevotella intermedia (U6 T1 23.33%-T2 73.33%, L6 T1 26.67%-T2 76.67%), Prevotella nigrescens (U6 T1 16.67%-T2 63.33%, L6 T1 23.33%-T2 73.33%) and Eikenella corrodens (U6 T1 26.67%-T2 63.33%, L6 T1 23.33%-T2 73.33%) six months after the placement of the fixed orthodontic appliance. Conclusion: In the initial phase of fixed orthodontic therapy, an increase in the number of patients with periodontopathogenic bacteria Tannarela forsythia, Treponema denticola, Porphyromonas gingivalis, Prevotella intermedia, Prevotella nigrescens and Eikenella corrodens was observed.
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publisher Dental Press Editora
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series Dental Press Journal of Orthodontics
spelling doaj-art-be7dbb6bb78b4d62b029f6afddab561d2025-08-20T02:08:40ZengDental Press EditoraDental Press Journal of Orthodontics2177-67092025-04-0130110.1590/2177-6709.30.1.e2524154.oarChanges in subgingival microflora in patients with fixed orthodontic appliancesAdriana ARBUTINAhttps://orcid.org/0000-0001-9930-3367Irena Kuzmanović RADMANhttps://orcid.org/0009-0008-4635-7730Mirjana UMIĆEVIĆ-DAVIDOVIĆhttps://orcid.org/0000-0001-8787-1682Marijana ARAPOVIĆ-SAVIĆhttps://orcid.org/0009-0003-6328-600XAleksandra ĐERIhttps://orcid.org/0000-0002-7203-8994Radmila ARBUTINAhttps://orcid.org/0000-0002-2903-4111Saša MARINhttps://orcid.org/0000-0002-9605-0293Renata JOSIPOVIĆhttps://orcid.org/0009-0006-1562-3747Nataša TRTIĆhttps://orcid.org/0000-0002-4856-2075ABSTRACT Introduction: Fixed orthodontic therapy is often accompanied by accumulation of plaque around the orthodontic brackets, which increases the number of periodontopathogenic bacteria. Objective: The objective of this study was to determine the changes in the subgingival microflora that occurred six months after the placement of a fixed orthodontic appliance. Methods: The study included 30 patients aged 13 to 35 years, in whom samples of subgingival plaque were taken before and six months after the start of fixed orthodontic therapy from the disto-buccal subgingival space of the left upper (U1) and lower central incisors (L1), mesio-buccal subgingival space of left upper (U6) and lower (L6) first molars. Material samples were tested for the presence of the following bacteria: Tannarela forsythia, Treponema denticola, Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans, Prevotella intermedia, Prevotella nigrescens and Eikenella corrodens, using the PCR method. Results: A significant increase of patients with presence of bacteria especially in the molar region was found: Tannarela forsythia (U6 T1 10%-T2 80%, L6 T1 16.67%-T2 80%), Porphyromonas gingivalis (U6 T1 60%-T2 90%, L6 T1 60%-T2 83.33%), Prevotella intermedia (U6 T1 23.33%-T2 73.33%, L6 T1 26.67%-T2 76.67%), Prevotella nigrescens (U6 T1 16.67%-T2 63.33%, L6 T1 23.33%-T2 73.33%) and Eikenella corrodens (U6 T1 26.67%-T2 63.33%, L6 T1 23.33%-T2 73.33%) six months after the placement of the fixed orthodontic appliance. Conclusion: In the initial phase of fixed orthodontic therapy, an increase in the number of patients with periodontopathogenic bacteria Tannarela forsythia, Treponema denticola, Porphyromonas gingivalis, Prevotella intermedia, Prevotella nigrescens and Eikenella corrodens was observed.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512025000100306&lng=en&tlng=enFixed orthodontic therapyPeriodontopathogenic bacteriaPCR
spellingShingle Adriana ARBUTINA
Irena Kuzmanović RADMAN
Mirjana UMIĆEVIĆ-DAVIDOVIĆ
Marijana ARAPOVIĆ-SAVIĆ
Aleksandra ĐERI
Radmila ARBUTINA
Saša MARIN
Renata JOSIPOVIĆ
Nataša TRTIĆ
Changes in subgingival microflora in patients with fixed orthodontic appliances
Dental Press Journal of Orthodontics
Fixed orthodontic therapy
Periodontopathogenic bacteria
PCR
title Changes in subgingival microflora in patients with fixed orthodontic appliances
title_full Changes in subgingival microflora in patients with fixed orthodontic appliances
title_fullStr Changes in subgingival microflora in patients with fixed orthodontic appliances
title_full_unstemmed Changes in subgingival microflora in patients with fixed orthodontic appliances
title_short Changes in subgingival microflora in patients with fixed orthodontic appliances
title_sort changes in subgingival microflora in patients with fixed orthodontic appliances
topic Fixed orthodontic therapy
Periodontopathogenic bacteria
PCR
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512025000100306&lng=en&tlng=en
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