ABSTRACT
Several studies have been published focusing on the possibility to treat patients affected by periodontal defects by means of orthodontic treatment. The aim of this systematic review is to evaluate the efficacy of the orthodontic treatment applied to the therapy of infraosseous defects, gingival recessions, and furcation lesions. An electronic and a manual search were performed based on a PICO assessment worksheet. Both human and animal studies were selected for this review. The electronic search (from January 1966 to December 2009) and the hand search (from January 1988 to December 2009) were conducted by 3 independent reviewers. A total of 197 articles were found and only 29 were considered eligible for this review. In particular, 22 studies dealing with infrabony defects, 1 gingival recession, and 6 furcation defect treatments. Due to the weak evidence and the controversial and unclear results, it appears important to encourage the researchers to produce Randomized Controlled clinical Trials aimed to investigate the efficacy of the orthodontic treatment for the correction of periodontal defects.
Subject(s)
Alveolar Bone Loss/therapy , Furcation Defects/therapy , Gingival Recession/therapy , Orthodontic Extrusion , Orthodontics, Corrective/methods , Tooth Movement Techniques , Animals , HumansABSTRACT
Several studies have been published focusing on the possibility to treat patients affected by periodontal defects by means of orthodontic treatment. The aim of this systematic review is to evaluate the efficacy of the orthodontic treatment applied to the therapy of infraosseous defects, gingival recessions, and furcation lesions. To establish an appropriate search strategy, the PICO assessment worksheet was used. Only Randomized Controlled Trials and Systematic Reviews were selected for this review. The electronic search (from January 1966 to January 2008) and the hand search (from January 1988 to January 2008) were conducted by three independent reviewers. There were no language restriction. No Randomized Controlled Trials and Systematic Reviews were identified during the investigated period and therefore it was not possible to perform meta-analysis. It appears important to encourage the researchers to produce Randomized Controlled clinical Trials aimed to investigate the efficacy of the orthodontic treatment, alone or in combination with the periodontal therapy, for the resolution of periodontal defects.
