A clinical evaluation of plaque accumulation and gingival reaction following bonding with fuji IX glass ionomer cement and right on composite resin

The gingival/periodontal health status of young patients undergoing orthodontic treatment has been the focus of attention by orthodontists and periodontists. It is widely believed that an important rationale for performing orthodontic treatment is to promote the health of the periodontium thereby enhancing longevity of the dentition. It is therefore assumed that adults with untreated malocclusion would be subject to o greater prevalence of periodontal disease than if their malocclusions had been corrected orthodontically. Although there is no scientific basis to support the concern that orthodontic tooth movement may initiate gingivitis or cause periodontal attachment loss. It is generally conceded that the greater plaque-retentive nature of orthodontic appliances aids in the plaque accumulation at the gingival margin and thus may contribute to the incidence of severity of gingival inflammation. The ongoing monitoring of gingival and periodontal health by orthodontists through out the treatment period and repeated reinforcement of acceptable oral hygiene routines have become an integral part of modern practice. Numerous clinical studies have demonstrated the beneficial effect of an oral hygiene programme carried out in conjunction with orthodontic treatment.