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Incisor malalignment and the risk of periodontal disease progression.

Abstract The objective of this study was to investigate the association between incisor crowding, irregularity, and periodontal disease progression in the anterior teeth.
PMID
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Authors

Mayor MeshTerms

Disease Progression

Keywords
Journal Title american journal of orthodontics and dentofacial orthopedics : official publication of the american association of orthodontists, its constituent societies, and the american board of orthodontics
Publication Year Start




PMID- 29602343
OWN - NLM
STAT- MEDLINE
DCOM- 20180409
LR  - 20180409
IS  - 1097-6752 (Electronic)
IS  - 0889-5406 (Linking)
VI  - 153
IP  - 4
DP  - 2018 Apr
TI  - Incisor malalignment and the risk of periodontal disease progression.
PG  - 512-522
LID - S0889-5406(17)31048-X [pii]
LID - 10.1016/j.ajodo.2017.08.015 [doi]
AB  - INTRODUCTION: The objective of this study was to investigate the association
      between incisor crowding, irregularity, and periodontal disease progression in
      the anterior teeth. METHODS: Data collected over 35 years from men enrolled in
      the Veterans Affairs Dental Longitudinal Study included information concerning
      pocket depth and alveolar bone loss. Plaster casts of the maxillary (n = 400) and
      mandibular (n = 408) arches were available for baseline measurements. Periodontal
      disease in the anterior teeth was defined as per arch sum of pathologic pocket
      depth and sum of teeth with any alveolar bone loss in the anterior sextants.
      Incisor malalignment status was defined by the anterior tooth size-arch length
      discrepancy index and Little's Irregularity Index. Adjusted mixed effects linear 
      models computed the beta (beta) estimates and 95% confidence intervals (95% CI)
      of the amounts of change in periodontal disease outcomes by the level of
      malalignment. RESULTS: In the anterior maxillary arch, crowding and spacing were 
      significantly associated with an increased per-arch sum of pathologic pocket
      depth (beta, 0.70 mm; 95% CI, 0.20-1.21, and beta, 0.49 mm; 95% CI, 0.06-0.91,
      respectively). In the anterior mandibular arch, incisor crowding and irregularity
      were significantly associated with an increased per-arch sum of pathologic pocket
      depth (mild crowding: beta, 0.47 mm; 95% CI, 0.01-0.93; severe irregularity:
      beta, 0.94 mm; 95% CI, 0.50-1.38), and the sum number of teeth with alveolar bone
      loss (mild and moderate-to-severe crowding: beta, 0.45 teeth; 95% CI, 0.08-0.82; 
      and beta, 0.45 teeth; 95% CI, 0.13-0.83, respectively; moderate irregularity:
      beta, 0.34 teeth; 95% CI, 0.06-0.62). CONCLUSIONS: Certain incisor malalignment
      traits (ie, maxillary incisor crowding, maxillary incisor spacing, mandibular
      incisor mild crowding, mandibular incisor moderate-to-severe crowding, mandibular
      incisor moderate irregularity, and mandibular incisor severe irregularity) are
      associated with significant periodontal disease progression.
CI  - Copyright (c) 2017 American Association of Orthodontists. Published by Elsevier
      Inc. All rights reserved.
FAU - Alsulaiman, Ahmed A
AU  - Alsulaiman AA
AD  - Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman 
      Bin Faisal University, Dammam, Saudi Arabia; Department of Orthodontics and
      Dentofacial Orthopedics, Henry M. Goldman School of Dental Medicine, Boston
      University, Boston, Mass. Electronic address: [email protected]
FAU - Kaye, Elizabeth
AU  - Kaye E
AD  - Department of Health Policy and Health Service Research, Henry M. Goldman School 
      of Dental Medicine, Boston University, Boston, Mass.
FAU - Jones, Judith
AU  - Jones J
AD  - School of Dentistry, University of Detroit Mercy, Detroit, Mich.
FAU - Cabral, Howard
AU  - Cabral H
AD  - Department of Biostatistics, School of Public Health, Boston University, Boston, 
      Mass.
FAU - Leone, Cataldo
AU  - Leone C
AD  - Department of Periodontology, Henry M. Goldman School of Dental Medicine, Boston 
      University, Boston, Mass.
FAU - Will, Leslie
AU  - Will L
AD  - Department of Orthodontics and Dentofacial Orthopedics, Henry M. Goldman School
      of Dental Medicine, Boston University, Boston, Mass.
FAU - Garcia, Raul
AU  - Garcia R
AD  - Department of Health Policy and Health Service Research, Henry M. Goldman School 
      of Dental Medicine, Boston University, Boston, Mass.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Orthod Dentofacial Orthop
JT  - American journal of orthodontics and dentofacial orthopedics : official
      publication of the American Association of Orthodontists, its constituent
      societies, and the American Board of Orthodontics
JID - 8610224
SB  - D
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Alveolar Bone Loss/etiology/pathology
MH  - Boston
MH  - Child
MH  - Dental Arch/pathology
MH  - Dental Plaque Index
MH  - *Disease Progression
MH  - Gingival Diseases/pathology
MH  - Humans
MH  - Incisor/anatomy & histology/*pathology
MH  - Longitudinal Studies
MH  - Male
MH  - Malocclusion/classification/*complications/pathology
MH  - Mandibular Diseases/etiology/pathology
MH  - Maxillary Diseases/etiology/pathology
MH  - Periodontal Diseases/*etiology/pathology
MH  - Periodontal Index
MH  - Periodontal Pocket/pathology
MH  - Risk Factors
MH  - Statistics, Nonparametric
MH  - United States
MH  - Veterans
MH  - Young Adult
EDAT- 2018/04/01 06:00
MHDA- 2018/04/10 06:00
CRDT- 2018/04/01 06:00
PHST- 2017/02/01 00:00 [received]
PHST- 2017/08/01 00:00 [revised]
PHST- 2017/08/01 00:00 [accepted]
PHST- 2018/04/01 06:00 [entrez]
PHST- 2018/04/01 06:00 [pubmed]
PHST- 2018/04/10 06:00 [medline]
AID - S0889-5406(17)31048-X [pii]
AID - 10.1016/j.ajodo.2017.08.015 [doi]
PST - ppublish
SO  - Am J Orthod Dentofacial Orthop. 2018 Apr;153(4):512-522. doi:
      10.1016/j.ajodo.2017.08.015.