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VOLUME 5 , ISSUE 1 ( Vol. 5, 2017 ) > List of Articles

Original Article

Mandibular Crowding - A risk factor in the Initiation and Progression of Gingival Inflammation

S. Cherkezi, S. Beraj, M. Nakova, M Konstandinova, M. Zhuzelova

Citation Information : Cherkezi S, Beraj S, Nakova M, Konstandinova M, Zhuzelova M. Mandibular Crowding - A risk factor in the Initiation and Progression of Gingival Inflammation. Arch Craniofac Sci 2017; 5 (1):1-5.

DOI: 10.5005/ACOFS-11029-05101

License: CC BY-NC 4.0

Published Online: 28-02-2017

Copyright Statement:  Copyright © 2017; BPH.


Abstract

This article deals with the impact of mandibular frontal crowding on the initiation and progression of gingival inflammation. For the purposes of this study, sixty patients were included, of which thirty with normal occlusion and another thirty with mandibular frontal crowding of their teeth were examined. In all patients, the accumulation, retention and elimination of the dental plaque was analyzed, whereas its impact on the integrity of the gingival tissue was followed by clinical observation of the gingival tissue and the recorded changes were shown through IGI and IGK. The respondents were observed several times, i.e. upon their first visit and then in 15, 30 and 45 days from their first check, i.e. after the elimination of the dental plaque and other overlays from their teeth as well as the elimination of the gingival inflammation. The acquired results from the examinations showed that there is a significant difference in the accumulation and retention of the dental plaque between the two examined groups, namely between the group of patients with normal occlusion and those with mandibular frontal crowding (p-0000*).On the 15th day of therapeutic treatment, upon the examination, the presence of dental plaque was still noticeable, in both groups, as a result of the inadequate maintenance of oral hygiene. The difference from the acquired values of the amount of the dental plaque from both examined groups is significant (p-005).The same was noticed even after the 30th day of the treatment; however, after the 45th day, the significance of the difference in acquired results was (p-0000*). Significant differences were noticed between the values obtained from both examined groups in terms of the index of gingival inflammation and the index of gingival bleeding(p-0002).The difference from the obtained values for IGI and IGK after the 15th day are insignificant; the difference from the obtained values for IGI and IGK after the 30th day was p-005 whereas after the 45th day p- 0002.These results point to the fact that mandibular crowding of frontal teeth represents a significant factor for the accumulation, retention and elimination of the dental biofilm and has indirect impact on the initiation and progression of gingival inflammation, namely the periodontal illness


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