The timing of orthodontic therapy in patients with stage IV periodontitis is investigated by the latest JCP Digest
The best time to begin orthodontic treatment for patients with pathological tooth migration and stage IV periodontitis has been a topic of discussion in recent years. While some studies have recommended waiting six to twelve months before beginning orthodontic treatment after the conclusion of regenerative procedures, other studies have shown positive results for early orthodontic movement.
Four weeks and six months after regenerative surgery to correct an infrabony defect, patients who underwent orthodontic treatment were compared for outcomes in a 12-month, multicenter clinical trial.
Clinical attachment levels (CAL) and probing pocket depth (PPD) showed statistically significant improvements in both groups, with the early-treatment group showing better results (although the difference was not statistically significant).
When researchers compared the outcomes from the trial’s various centers, they discovered that three of the four centers had significantly higher CALs in favor of early treatment.
They came to the conclusion that it was feasible to begin orthodontic therapy as soon as four weeks after regenerative treatment, which would shorten the overall treatment period.
Jepsen, K., Tietmann, C., Kutschera, E., Wüllenweber, P., Jäger, A., Cardaropoli, D., Gaveglio, L., Sanz Sanchez, I., Martin, C., Fimmers, R., & Jepsen, S. (2021). The effect of timing of orthodontic therapy on the outcomes of regenerative periodontal surgery in patients with stage IV periodontitis: A multicenter randomized trial. Journal of Clinical Periodontology, 48(10), 1282–1292. https://doi.org/10.1111/jcpe.13528.