Orthodontic treatment of patients with severe (stage IV) periodontitis
Open accessAbstract
Stage IV periodontitis is characterized, apart from high severity/complexity (attachment loss, radiographic bone loss, and deep probing depths), from loss of multiple teeth and/or alterations of the masticatory function. Periodontitis stage IV patients are often characterized by pathologic tooth migration, drifting, flaring, posterior bite collapse, and secondary occlusal trauma. These act as complexity factors not only for the management of periodontitis, but also for the prognosis of the whole dentition, and the majority of these patients present secondary malocclusions that require interdisciplinary treatment with orthodontics. However, the management of stage IV patients is complex and requires coordination between the periodontal and orthodontic specialist, while orthodontic treatment needs to be appropriately adjusted to the specificities of adult periodontally-stable patients with severely reduced periodontium. The aim of the paper is to discuss the orthodontic management of these patients, including conditions that need to be met for orthodontic treatment to start, treatment-related considerations pertaining to appliance choice and mechanotherapy, as well as post-treatment maintenance protocols to ensure long-term stability of the treatment results. Finally, an updated systematic review with meta-analysis is presented that summarizes clinical evidence on the effect of combined periodontal-orthodontic treatment for stage IV periodontitis patients with pathological tooth migration.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Overall, clinical evidence indicates that orthodontic treatment under proper oral hygiene regimens is not associated with clinical attachment loss, even among patients with reduced but healthy periodontium.
“Overall, clinical evidence indicates that orthodontic treatment under proper oral hygiene regimens is not associated with clinical attachment loss, even among patients with reduced but healthy periodontium [33–35].”
From Influence of elastomeric and steel ligatures on periodontal health during fixed appliance orthodontic treatment: a systematic review and meta-analysis (2024) · cites this paper as [35]
Cites
Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., Flemmig, T. F., Garcia, R., Giannobile, W. V., Graziani, F., et al. (2018) · Journal of Periodontology · doi:10.1002/jper.17-0721 · Cited by 3,202 · see citing works
Self-citationGRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology
Guyatt, G. H., Oxman, A. D., Schünemann, H. J., Tugwell, P., & Knottnerus, A. (2011) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2010.09.011 · Cited by 3,094 · see citing works
Global Burden of Severe Periodontitis in 1990-2010: A Systematic Review and Meta-regression
Kassebaum, N. J., Bernabé, E., Dahiya, M., Bhandari, B., Murray, C. J. L., & Marcenes, W. (2014) · Journal of Dental Research · doi:10.1177/0022034514552491 · Cited by 2,209 · see citing works
Treatment of stage I–III periodontitis—The EFP S3 level clinical practice guideline
Sanz, M., Herrera, D., Kebschull, M., Chapple, I., Jepsen, S., Berglundh, T., Sculean, A., Tonetti, M. S., & Consultants, E. W. P. A. M. (2020) · Journal of Clinical Periodontology · doi:10.1111/jcpe.13290 · Cited by 1,934 · see citing works
Self-citationA comparison of heterogeneity variance estimators in simulated random‐effects meta‐analyses
Langan, D., Higgins, J. P. T., Jackson, D., Bowden, J., Veroniki, A. A., Kontopantelis, E., Viechtbauer, W., & Simmonds, M. (2019) · Research Synthesis Methods · doi:10.1002/jrsm.1316 · Cited by 1,074 · see citing works
Axelsson, P., Nyström, B., & Lindhe, J. (2004) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.2004.00563.x · Cited by 902 · see citing works
Effect of nonsurgical periodontal therapy
Badersten, A., Nilvéus, R., & Egelberg, J. H. (1984) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1984.tb01309.x · Cited by 721 · see citing works
Clinical and public health implications of periodontal and systemic diseases: An overview
Genco, R. J., & Sanz, M. (2020) · Periodontology 2000 · doi:10.1111/prd.12344 · Cited by 694 · see citing works
Self-citationChlorhexidine mouthrinse as an adjunctive treatment for gingival health
James, P. M. C., Worthington, H. V., Parnell, C., Harding, M., Lamont, T., Cheung, A., Whelton, H. P., & Riley, P. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008676.pub2 · Cited by 612 · see citing works
Jepsen, S., Caton, J. G., Albandar, J. M., Bissada, N. F., Bouchard, P., Cortellini, P., Demirel, K., de Sanctis, M., Ercoli, C., Fan, J., et al. (2018) · Journal of Periodontology · doi:10.1002/jper.17-0733 · Cited by 602 · see citing works
Long‐term maintenance of patients treated for advanced periodontal disease*
Lindhe, J., & Nyman, S. R. (1984) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1984.tb00902.x · Cited by 512 · see citing works
Haouili, N., Kravitz, N. D., Vaid, N. R., Ferguson, D. J., & Makki, L. (2020) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2019.12.015 · Cited by 455 · see citing works
Treatment of stage IV periodontitis: The EFP S3 level clinical practice guideline
Herrera, D., Sanz, M., Kebschull, M., Jepsen, S. V., Sculean, A., Berglundh, T., Papapanou, P. N., Chapple, I., Tonetti, M. S., & Consultant, E. W. P. A. M. (2022) · Journal Of Clinical Periodontology · doi:10.1111/jcpe.13639 · Cited by 449 · see citing works
Self-citationCurrent uses of chlorhexidine for management of oral disease: a narrative review
Brookes, Z. L. S., Bescós, R., Belfield, L., Ali, K., & Roberts, A. (2020) · Journal of Dentistry · doi:10.1016/j.jdent.2020.103497 · Cited by 441 · see citing works
Clinical concepts for regenerative therapy in intrabony defects
Cortellini, P., & Tonetti, M. S. (2015) · Periodontology 2000 · doi:10.1111/prd.12048 · Cited by 359 · see citing works
Healing following surgical non‐surgical treatment of periodontal disease
Lindhe, J., Westfelt, E., Nyman, S. R., Socransky, S. S., Heijl, L. C., & Bratthall, G. (1982) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1982.tb01227.x · Cited by 356 · see citing works
Herrera, D., Sanz, M., Shapira, L., Brotons, C., Chapple, I., Frese, T., Graziani, F., Hobbs, R. F., Huck, O., Hummers, E., et al. (2023) · Journal Of Clinical Periodontology · doi:10.1111/jcpe.13807 · Cited by 315 · see citing works
Self-citationThe Effects of Orthodontic Therapy on Periodontal Health
Bollen, A.-M., Cunha-Cruz, J., Bakko, D. W., Huang, G. J., & Hujoel, P. P. (2008) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2008.0184 · Cited by 310 · see citing works
Intrusion of incisors in adult patients with marginal bone loss
Melsen, B., Agerbæk, N., & Markenstam, G. (1989) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/0889-5406(89)90460-5 · Cited by 305 · see citing works
Tissue reaction to orthodontic tooth movement--a new paradigm
Melsen, B. (2001) · European Journal of Orthodontics · doi:10.1093/ejo/23.6.671 · Cited by 248 · see citing works
Papageorgiou, S. N., Koletsi, D., Iliadi, A., Peltomäki, T., & Eliades, T. (2019) · European Journal of Orthodontics · doi:10.1093/ejo/cjz094 · Cited by 238 · see citing works
Self-citationQuality of life related to oral health and its impact in adults
Spanemberg, J. C., Cardoso, J. A., Slob, E. M. G. B., & López-López, J. (2019) · Journal of Stomatology Oral and Maxillofacial Surgery · doi:10.1016/j.jormas.2019.02.004 · Cited by 215 · see citing works
Clinical and microbiological effects of fixed orthodontic appliances
Diamanti-Kipioti, A., Gusberti, F. A., & Lang, N. P. (1987) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1987.tb00979.x · Cited by 210 · see citing works
Effects of orthodontic bands on microbiologic and clinical parameters
Huser, M. C., Baehni, P. C., & Lang, R. (1990) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/s0889-5406(05)80054-x · Cited by 201 · see citing works
Årtun, J., & Urbye, K. S. (1988) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/0889-5406(88)90292-2 · Cited by 198 · see citing works
New attachment through periodontal treatment and orthodontic intrusion
Melsen, B., Agerbæk, N., Erikson, J., & Terp, S. (1988) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/0889-5406(88)90358-7 · Cited by 194 · see citing works
Growth of the nasopharynx and adenoid development from one to eighteeen years.
Handelman, C. S., & Osborne, G. E. (1976) · PubMed · doi:10.1043/0003-3219(1976)046 · Cited by 191 · see citing works
Ericsson, I., Tehlander, B., Lindhe, J., & Okamoto, H. (1977) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1977.tb01900.x · Cited by 190 · see citing works
Commentary: Prognosis Revisited: A System for Assigning Periodontal Prognosis
Kwok, V., & Caton, J. G. (2007) · Journal of Periodontology · doi:10.1902/jop.2007.070210 · Cited by 181 · see citing works
Yassir, Y. A., Nabbat, S. A., McIntyre, G. T., & Bearn, D. (2022) · Clinical Oral Investigations · doi:10.1007/s00784-021-04361-1 · Cited by 175 · see citing works
Brunsvold, M. A. (2005) · Journal of Periodontology · doi:10.1902/jop.2005.76.6.859 · Cited by 170 · see citing works
Marcusson, A., Norevall, L., & Persson, M. (1997) · European Journal of Orthodontics · doi:10.1093/ejo/19.3.233 · Cited by 146 · see citing works
The influence of orthodontic fixed appliances on the oral microbiota: A systematic review
Freitas, A. O. A. D., Marquezan, M., Nojima, M. D. C. G., Alviano, D. S., & Maia, L. C. (2014) · Dental Press Journal of Orthodontics · doi:10.1590/2176-9451.19.2.046-055.oar · Cited by 138 · see citing works
Impact of the treatment of periodontitis on systemic health and quality of life: A systematic review
Orlandi, M., Aguilera, E. M., Marletta, D., Petrie, A., Suvan, J. E., & D’Aiuto, F. (2021) · Journal Of Clinical Periodontology · doi:10.1111/jcpe.13554 · Cited by 135 · see citing works
Corrente, G., Abundo, R., Re, S., Cardaropoli, D., & Cardaropoli, G. (2003) · Journal of Periodontology · doi:10.1902/jop.2003.74.8.1104 · Cited by 124 · see citing works
Which orthodontic appliance is best for oral hygiene? A randomized clinical trial
Chhibber, A., Agarwal, S., Yadav, S., Kuo, C.-L., & Upadhyay, M. (2018) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2017.10.009 · Cited by 123 · see citing works
Periodontal disease and quality of life: Umbrella review of systematic reviews
Wong, L. B., Yap, A. U., & Allen, P. (2020) · Journal of Periodontal Research · doi:10.1111/jre.12805 · Cited by 120 · see citing works
Dai, F., Xu, T., & Shu, G. (2021) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2020.06.041 · Cited by 117 · see citing works
Samandara, A., Papageorgiou, S. N., Ioannidou-Marathiotou, I., Kavadia, S., & Papadopoulos, M. A. A. P. (2018) · European Journal of Orthodontics · doi:10.1093/ejo/cjy027 · Cited by 114 · see citing works
Self-citationLong-term periodontal status after orthodontic treatment
Polson, A. M., Subtelny, J. D., Meitner, S. W., Poison, A. P., Sommers, E. W., Iker, H. P., & Reed, B. E. (1988) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/0889-5406(88)90193-x · Cited by 108 · see citing works
Unexpected complications associated with mandibular fixed retainers: A retrospective study
Kučera, J., & Marek, I. (2016) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2015.07.035 · Cited by 105 · see citing works
Subgingival microbiome in periodontal health, gingivitis and different stages of periodontitis
Iniesta, M., Chamorro, C., Ambrosio, N., Marín, M. J., Sanz, M., & Herrera, D. (2023) · Journal Of Clinical Periodontology · doi:10.1111/jcpe.13793 · Cited by 103 · see citing works
Self-citationA study on factors associated with pathologic tooth migration
Martínez‐Canut, P., Carrasquer, A., Magán, R., & Lorca, A. (1997) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1997.tb00217.x · Cited by 103 · see citing works
Martín, C., Celis, B., Ambrosio, N., Bollaín, J., Antonoglou, G. N., & Figuero, E. (2021) · Journal Of Clinical Periodontology · doi:10.1111/jcpe.13487 · Cited by 102 · see citing works
Self-citationComplications and treatment errors involving periodontal tissues related to orthodontic therapy
Jepsen, K., Sculean, A., & Jepsen, S. V. (2023) · Periodontology 2000 · doi:10.1111/prd.12484 · Cited by 100 · see citing works
Gingiva and Orthodontic Treatment
Krishnan, V., Ambili, R., Davidovitch, Z., & Murphy, N. C. (2007) · Seminars in Orthodontics · doi:10.1053/j.sodo.2007.08.007 · Cited by 97 · see citing works
Immune Changes Induced by Orthodontic Forces: A Critical Review
Chaushu, S., Klein, Y., Mandelboim, O., Barenholz, Y., & Fleissig, O. (2021) · Journal of Dental Research · doi:10.1177/00220345211016285 · Cited by 93 · see citing works
The effects of fixed orthodontic retainers on periodontal health: A systematic review
Arn, M.-L., Dritsas, K., Pandis, N., & Kloukos, D. (2020) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2019.10.010 · Cited by 87 · see citing works
Papageorgiou, S. N., Gölz, L., Jäger, A., Eliades, T., & Bourauel, C. P. (2016) · European Journal Of Oral Sciences · doi:10.1111/eos.12250 · Cited by 86 · see citing works
Self-citationOrthodontic forces and recurrence of periodontal disease
Ericsson, I., & Thilander, B. (1978) · American Journal of Orthodontics · doi:10.1016/0002-9416(78)90044-1 · Cited by 86 · see citing works
Meta-analysis for orthodontists: Part I – How to choose effect measure and statistical model
Papageorgiou, S. N. (2014) · Journal of Orthodontics · doi:10.1179/1465313314y.0000000111 · Cited by 82 · see citing works
Self-citationEffects of remote digital monitoring on oral hygiene of orthodontic patients: a prospective study
Sangalli, L., Savoldi, F., Dalessandri, D., Bonetti, S., Gu, M., Signoroni, A., & Paganelli, C. (2021) · BMC Oral Health · doi:10.1186/s12903-021-01793-9 · Cited by 78 · see citing works
Papageorgiou, S. N., Antonoglou, G. N., Michelogiannakis, D., Kakali, L., Eliades, T., & Madianos, P. (2022) · Journal of Clinical Periodontology · doi:10.1111/jcpe.13529 · Cited by 75 · see citing works
Self-citationKravitz, N. D., Dalloul, B., Zaid, Y. A., Shah, C., & Vaid, N. R. (2022) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2022.03.016 · Cited by 74 · see citing works
Shroff, B., Lindauer, S. J., Burstone, C. J., & Leiss, J. B. (1995) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/s0889-5406(95)70128-1 · Cited by 72 · see citing works
Impact of Obesity on Orthodontic Tooth Movement in Adolescents: A Prospective Clinical Cohort Study
Saloom, H. F., Papageorgiou, S. N., Carpenter, G. H., & Cobourne, M. T. (2017) · Journal of Dental Research · doi:10.1177/0022034516688448 · Cited by 72 · see citing works
Self-citationOrthodontic treatment in patients with aggressive periodontitis
Carvalho, C. V., Saraiva, L. M., Bauer, F. P. F., Kimura, R. Y., Souto, M. L. S., Bernardo, C. C., Pannuti, C. M., Romito, G. A., & Pustiglioni, F. E. (2018) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2017.08.018 · Cited by 69 · see citing works
AlSeraidi, M., Hansa, I., Dhaval, F., Ferguson, D. J., & Vaid, N. R. (2021) · Progress in Orthodontics · doi:10.1186/s40510-020-00346-0 · Cited by 67 · see citing works
Han, J. (2015) · Journal of Periodontal & Implant Science · doi:10.5051/jpis.2015.45.6.193 · Cited by 66 · see citing works
Retention procedures for stabilising tooth position after treatment with orthodontic braces
Martín, C., Littlewood, S., Millett, D. T., Doubleday, B., Bearn, D., Worthington, H. V., & Limones, Á. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002283.pub5 · Cited by 66 · see citing works
Development of a clinical practice guideline for orthodontic retention
Wouters, C. A. Z., Lamberts, T. A., Kuijpers‐Jagtman, A. M., & Renkema, A. M. (2019) · Orthodontics and Craniofacial Research · doi:10.1111/ocr.12302 · Cited by 63 · see citing works
Koletsi, D., Iliadi, A., & Eliades, T. (2021) · Journal of Orthodontics · doi:10.1177/14653125211027266 · Cited by 62 · see citing works
Self-citationBiological basis for orthodontic relapse
Thilander, B. (2000) · Seminars in Orthodontics · doi:10.1053/sodo.2000.8085 · Cited by 62 · see citing works
Han, G., Hu, M., Zhang, Y., & Jiang, H. (2013) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2013.05.005 · Cited by 61 · see citing works
Jepsen, K., Tietmann, C., Kutschera, E., Wüllenweber, P., Jäger, A., Cardaropoli, D., Gaveglio, L., Sanz‐Sánchez, I., Martín, C., Fimmers, R., et al. (2021) · Journal Of Clinical Periodontology · doi:10.1111/jcpe.13528 · Cited by 60 · see citing works
Sifakakis, I., Papaioannou, W., Papadimitriou, A., Kloukos, D., Papageorgiou, S. N., & Eliades, T. (2018) · Progress in Orthodontics · doi:10.1186/s40510-018-0230-4 · Cited by 59 · see citing works
Self-citationMeta-analysis for orthodontists: Part II – Is all that glitters gold?
Papageorgiou, S. N. (2014) · Journal of Orthodontics · doi:10.1179/1465313314y.0000000110 · Cited by 58 · see citing works
Self-citationPapageorgiou, S. N., Papadelli, A. A., & Eliades, T. (2018) · European Journal of Orthodontics · doi:10.1093/ejo/cjx052 · Cited by 57 · see citing works
Self-citationEffect of orthodontic treatment on the subgingival microbiota: A systematic review and meta‐analysis
Papageorgiou, S. N., Xavier, G. M., Cobourne, M. T., & Eliades, T. (2018) · Orthodontics & Craniofacial Research · doi:10.1111/ocr.12237 · Cited by 56 · see citing works
Self-citationStephens, C., Weir, T., Llewellyn, S., Freer, E., & Kerr, B. (2022) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2022.06.015 · Cited by 54 · see citing works
Roccuzzo, M., Marchese, S., Dalmasso, P., & Roccuzzo, A. (2018) · The International Journal of Periodontics & Restorative Dentistry · doi:10.11607/prd.3756 · Cited by 52 · see citing works
Predictability of lower incisor tip using clear aligner therapy
Smith, J. M., Weir, T., Kaang, A., & Farella, M. (2022) · Progress in Orthodontics · doi:10.1186/s40510-022-00433-4 · Cited by 51 · see citing works
Survival analysis of orthodontic retainers
Jin, C., Bennani, F., Gray, A. R., Farella, M., & Mei, L. (2017) · European Journal of Orthodontics · doi:10.1093/ejo/cjx100 · Cited by 50 · see citing works
Post-treatment changes in permanent retention
Wolf, M., Schulte, U., Küpper, K., Bourauel, C., Keilig, L., Papageorgiou, S., Dirk, C., Kirschneck, C., Daratsianos, N., & Jäger, A. (2016) · Journal of Orofacial Orthopedics-fortschritte Der Kieferorthopadie · doi:10.1007/s00056-016-0054-0 · Cited by 50 · see citing works
Self-citationZhang, J., Zhang, A.-M., Zhang, Z.-M., Jia, J., Sui, X.-X., Yu, L.-R., & Liu, H.-T. (2017) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2017.01.028 · Cited by 49 · see citing works
Hansa, I., Katyal, V., Semaan, S. J., Coyne, R., & Vaid, N. R. (2021) · Seminars in Orthodontics · doi:10.1053/j.sodo.2021.05.010 · Cited by 49 · see citing works
Levin, L., Einy, S., Zigdon, H., Aizenbud, D., & Machtei, E. E. (2012) · Journal of Applied Oral Science · doi:10.1590/s1678-77572012000400002 · Cited by 49 · see citing works
Hirschfeld, J., Reichardt, E., Sharma, P., Hilber, A., Meyer‐Marcotty, P., Stellzig‐Eisenhauer, A., Schlagenhauf, U., & Sickel, F. E. (2019) · Journal of Periodontology · doi:10.1002/jper.18-0578 · Cited by 47 · see citing works
Leow, N. M., Moreno, F., Marletta, D., Hussain, S. B., Buti, J., Almond, N., & Needleman, I. (2021) · Journal of Clinical Periodontology · doi:10.1111/jcpe.13553 · Cited by 47 · see citing works
Snider, V., Homsi, K., Kusnoto, B., Atsawasuwan, P., Viana, G., Allareddy, V., Gajendrareddy, P. K., & Elnagar, M. H. (2023) · Orthodontics and Craniofacial Research · doi:10.1111/ocr.12666 · Cited by 47 · see citing works
Kloukos, D., Roccuzzo, A., Stähli, A., Sculean, A., Katsaros, C., & Salvi, G. E. (2021) · Journal Of Clinical Periodontology · doi:10.1111/jcpe.13509 · Cited by 46 · see citing works
The impact of personality on adult patients' adjustability to orthodontic appliances
Cooper‐Kazaz, R., Ivgi, I., Canetti, L., Bachar, E., Tsur, B., Chaushu, S., & Shalish, M. (2012) · The Angle Orthodontist · doi:10.2319/010312-6.1 · Cited by 45 · see citing works
Gingival tissue reactions to orthodontic closure of extraction sites
Rönnerman, A., Thilander, B., & Heyden, G. (1980) · American Journal of Orthodontics · doi:10.1016/0002-9416(80)90153-0 · Cited by 45 · see citing works
Adverse effects of lingual and buccal orthodontic techniques: A systematic review and meta-analysis
Ata‐Ali, F., Ata‐Ali, J., Molina, M. F., Cobo, T., Villafranca, F. D. C., & Cobo, J. L. (2016) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2015.11.031 · Cited by 44 · see citing works
Prato, G. P., & Chambrone, L. (2019) · Journal of Periodontology · doi:10.1002/jper.19-0306 · Cited by 44 · see citing works
Anterior tooth alignment: A comparison of orthodontic retention regimens 5 years posttreatment
Bjering, R., Birkeland, K., & Vandevska‐Radunovic, V. (2014) · The Angle Orthodontist · doi:10.2319/051414-349.1 · Cited by 42 · see citing works
Predictability of anterior open bite treatment with Invisalign
Blundell, H. L., Weir, T., & Byrne, G. (2023) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2023.04.017 · Cited by 41 · see citing works
Cephalometric characteristics of nonobese patients with severe OSA.
Pae, E., & Ferguson, K. A. (1999) · PubMed · doi:10.1043/0003-3219(1999)069 · Cited by 37 · see citing works
Tietmann, C., Bröseler, F., Axelrad, T., Jepsen, K., & Jepsen, S. V. (2021) · Journal Of Clinical Periodontology · doi:10.1111/jcpe.13442 · Cited by 37 · see citing works
Consequences of orthodontic treatment on periodontal health: Clinical and microbial effects
Davis, S. M., Plonka, A. B., Fulks, B. A., Taylor, K. L., & Bashutski, J. D. (2014) · Seminars in Orthodontics · doi:10.1053/j.sodo.2014.06.002 · Cited by 36 · see citing works
3D-analysis of unwanted tooth movements despite bonded orthodontic retainers: a pilot study
Klaus, K., Xirouchaki, F., & Ruf, S. (2020) · BMC Oral Health · doi:10.1186/s12903-020-01304-2 · Cited by 36 · see citing works
Zasčiurinskienė, E., Rastokaitė, L., Lindsten, R., Basevičienė, N., & Šidlauskas, A. (2023) · European Journal of Orthodontics · doi:10.1093/ejo/cjad003 · Cited by 36 · see citing works
Aimetti, M., Garbo, D., Ercoli, E., Grigorie, M. M., Citterio, F., & Romano, F. (2019) · The International Journal of Periodontics & Restorative Dentistry · doi:10.11607/prd.4523 · Cited by 35 · see citing works
Sosly, R., Mohammed, H., Rizk, M. Z., Jamous, E., Qaisi, A. G., & Bearn, D. (2019) · The Angle Orthodontist · doi:10.2319/061119-400.1 · Cited by 34 · see citing works
Ritchie, C., McGregor, S., & Bearn, D. (2023) · European Journal of Orthodontics · doi:10.1093/ejo/cjac072 · Cited by 34 · see citing works
Tietmann, C., Jepsen, S. V., Heibrok, H., Wenzel, S., & Jepsen, K. (2023) · Journal of Periodontology · doi:10.1002/jper.23-0081 · Cited by 34 · see citing works
Agudio, G., Buti, J., Bonaccini, D., Prato, G. P., & Cortellini, P. (2023) · Journal Of Clinical Periodontology · doi:10.1111/jcpe.13770 · Cited by 32 · see citing works
Oikonomou, E., Foros, P. E., Tagkli, A., Rahiotis, C., Eliades, T., & Koletsi, D. (2021) · PubMed Central · doi:10.3290/j.ohpd.b2403661 · Cited by 30 · see citing works
Self-citationHussain, U., Alam, S., Rehman, K., Antonoglou, G. N., & Papageorgiou, S. N. (2023) · European Journal of Orthodontics · doi:10.1093/ejo/cjac044 · Cited by 30 · see citing works
Self-citationMarçal, F. F., de Paulo, J. P. M., Barreto, L. G., Guerra, L. M. D. C., & Silva, P. G. D. B. (2021) · International Journal of Dental Hygiene · doi:10.1111/idh.12511 · Cited by 28 · see citing works
Goh, S., Dreyer, C. W., & Weir, T. (2022) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2021.09.020 · Cited by 28 · see citing works
Bowman, E., Bowman, P., Weir, T., Dreyer, C. W., & Meade, M. J. (2023) · International Orthodontics · doi:10.1016/j.ortho.2023.100746 · Cited by 27 · see citing works
PERIODONTAL TRAUMA AND MOBILITY
Serio, F. G., & Hawley, C. E. (1999) · Dental Clinics of North America · doi:10.1016/s0011-8532(22)00505-5 · Cited by 26 · see citing works
Kettenbeil, A. K. D., Reimann, S., Reichert, C., Keilig, L., Jäger, A., & Bourauel, C. P. (2013) · Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie · doi:10.1007/s00056-013-0182-8 · Cited by 25 · see citing works
Meade, M. J., & Weir, T. (2023) · The Angle Orthodontist · doi:10.2319/030923-161.1 · Cited by 25 · see citing works
The predictability of maxillary curve of Spee leveling with the Invisalign appliance
Lim, Z. W., Meade, M. J., & Weir, T. (2023) · The Angle Orthodontist · doi:10.2319/022423-128.1 · Cited by 24 · see citing works
Zymperdikas, V. F., Yavropoulou, M. P., Kaklamanos, E. G., & Papadopoulos, M. A. A. P. (2019) · European Journal of Orthodontics · doi:10.1093/ejo/cjz021 · Cited by 22 · see citing works
Angst, C., Eliades, T., & Papageorgiou, S. N. (2020) · European Journal of Orthodontics · doi:10.1093/ejo/cjaa004 · Cited by 22 · see citing works
Self-citationHan, J., Park, S. H., Kim, J., Hwang, K., & Park, C. (2021) · Journal of Periodontal & Implant Science · doi:10.5051/jpis.2003140157 · Cited by 22 · see citing works
Jepsen, K., Tietmann, C., Martín, C., Kutschera, E., Jäger, A., Wüllenweber, P., Gaveglio, L., Cardaropoli, D., Sanz‐Sánchez, I., Fimmers, R., et al. (2023) · Bioengineering · doi:10.3390/bioengineering10060695 · Cited by 21 · see citing works
Baghdadi, D., Reimann, S., Keilig, L., Reichert, C., Jäger, A., & Bourauel, C. P. (2019) · Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie · doi:10.1007/s00056-019-00179-5 · Cited by 19 · see citing works
Comparison of Root Parallelism in Extraction Cases Treated with Clear Aligners vs. Fixed Appliances
Tao, T., Liang, H., Yan, X., Fan, Q. W., Jiang, Q., Jian, F., Long, H., & Lai, W. (2022) · Applied Sciences · doi:10.3390/app122211756 · Cited by 19 · see citing works
Inadvertent side effects of fixed lingual retainers
Seide, M., Kruse, T., Graf, I., Bourauel, C. P., Lapatki, B. G., Jäger, R., & Braumann, B. (2022) · Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie · doi:10.1007/s00056-022-00432-4 · Cited by 19 · see citing works
The predictability of maxillary curve of Wilson leveling with the Invisalign appliance
Lim, Z. W., Weir, T., & Meade, M. J. (2023) · Journal of the World Federation of Orthodontists · doi:10.1016/j.ejwf.2023.05.008 · Cited by 16 · see citing works
Aimetti, M., Garbo, D., Vidotto, C., Bongiovanni, L., Citterio, F., Mariani, G. M., Baima, G., & Romano, F. (2022) · The International Journal of Periodontics & Restorative Dentistry · doi:10.11607/prd.6247 · Cited by 16 · see citing works
The dark side of fixed retainers: Case series
Arqub, S. A., Al‐Moghrabi, D., Tsichlaki, A., Sanders, D. A., & Uribe, F. A. (2023) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2023.06.009 · Cited by 15 · see citing works
Yang, T., Jiang, L., Sun, W., Zhu, M., Jiang, K., Li, H., & Lei, L. (2023) · Head & Face Medicine · doi:10.1186/s13005-023-00375-0 · Cited by 15 · see citing works
Cortez, M. A. F., Bourauel, C. P., Reichert, C., Jäger, A., & Reimann, S. (2021) · Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie · doi:10.1007/s00056-021-00324-z · Cited by 15 · see citing works
Jiang, C., Fan, C., Yu, X., Xu, T., Cai, J., Fan, X., & Zhang, J. (2021) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2020.01.026 · Cited by 14 · see citing works
Retention management decisions: A review of current evidence and emerging trends
Rody, W. J., & Wheeler, T. T. (2016) · Seminars in Orthodontics · doi:10.1053/j.sodo.2016.12.009 · Cited by 13 · see citing works
Salvesen, B. F., Grytten, J., Rongen, G., Koldsland, O. C., & Vandevska-Radunovic, V. (2021) · Acta Odontologica Scandinavica · doi:10.1080/00016357.2021.1921842 · Cited by 12 · see citing works
Ye, Z.-Y., Ye, H., Yu, X., Wang, Y., Li-jun, W., & Ding, X. (2022) · BMC Oral Health · doi:10.1186/s12903-022-02375-z · Cited by 12 · see citing works
Liu, X., Pan, X., & Shu, R. (2008) · PubMed · Cited by 10 · see citing works
Clinical outcomes of lingual fully customized vs labial straight wire systems
Ata‐Ali, F., Ata‐Ali, J., Lanuza-Garcia, A., Molina, M. F., Melo, M., & Plasencia, E. (2020) · Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie · doi:10.1007/s00056-020-00248-0 · Cited by 10 · see citing works
Mahajan, A. C., Kolte, A. P., Kolte, R. A., & Agrawal, A. A. (2017) · Contemporary Clinical Dentistry · doi:10.4103/ccd.ccd_512_17 · Cited by 8 · see citing works
AlMoharib, H. S., Al‐Askar, M., Alshabib, A., Almadhoon, H. W., & Almohareb, T. (2023) · International Journal of Dental Hygiene · doi:10.1111/idh.12741 · Cited by 8 · see citing works
Koletsi, D., Iliadi, A., Papageorgiou, S. N., Konrad, D., & Eliades, T. (2020) · Archives of Oral Biology · doi:10.1016/j.archoralbio.2020.104739 · Cited by 7 · see citing works
Self-citationOcclusion management in orthodontic anchorage control.
Fiorelli, G., & Melsen, B. (2013) · PubMed · Cited by 7 · see citing works
Huang, Y.-Z., Zhu, Y., & Yan, Y. (2021) · Medicine · doi:10.1097/md.0000000000025181 · Cited by 4 · see citing works
Shi, J., Zhou, Y., & Fu, M.-K. (2003) · PubMed · Cited by 3 · see citing works
Koletsi, D., Eliades, T., Zinelis, S., Bourauel, C. P., & Eliades, G. (2016) · European Journal of Orthodontics · doi:10.1093/ejo/cjw010 · Cited by 3 · see citing works
Self-citationBittencourt, L. F., Angst, P. D. M., Oppermann, R. V., van der Velden, U., & Gomes, S. C. (2022) · Clinical Oral Investigations · doi:10.1007/s00784-022-04466-1 · Cited by 2 · see citing works
Orthodontic treatment of patients with severe (Stage IV) periodontitis
Papageorgiou, S. N., Antonoglou, G. N., Eliades, T., Martín, C., & Sanz, M. (2023) · Zenodo (CERN European Organization for Nuclear Research) · doi:10.5281/zenodo.10157345 · Cited by 1 · see citing works
Self-citation
Flagged first, then by citations
2 of the 135 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Expert consensus on orthodontic treatment of patients with periodontal disease
Zhong, W., Zhou, C., Yin, Y., Feng, G., Zhao, Z., Pan, Y., Yuxing, B., Jin, Z., Xu, Y., Fang, B., et al. (2025) · International Journal of Oral Science · doi:10.1038/s41368-025-00356-w · Cited by 52 · see citing works
Hussain, U., Campobasso, A., Noman, M., Alam, S., Mujeeb, R., Shehzad, S., & Papageorgiou, S. N. (2024) · Progress in Orthodontics · doi:10.1186/s40510-024-00520-8 · Cited by 13 · see citing works
Self-citationPeriodontitis: orthodontic implications and management
Fleming, P. S., & Andrews, J. (2024) · BDJ · doi:10.1038/s41415-024-7789-6 · Cited by 9 · see citing works
RCT on orthodontic timing post-periodontal regeneration: root resorption and tooth movement outcomes
Martín, C., Tietmann, C., Wenzel, S., Luengo, M., Gaveglio, L., Cardaropoli, D., Kutschera, E., Sanz‐Sánchez, I., Wüllenweber, P., Jepsen, S. V., et al. (2025) · European Journal of Orthodontics · doi:10.1093/ejo/cjaf078 · Cited by 7 · see citing works
Automated periodontal assessment in orthodontic patients: a dual CNN framework
Yurdakurban, E., Bayırlı, A. B., Uytun, M., Suçeken, Ö., Karasoy, O., Özkaraca, O., & Topsakal, K. G. (2025) · Clinical Oral Investigations · doi:10.1007/s00784-025-06410-5 · Cited by 7 · see citing works
Retrospective Study on Orthodontic Gingival Recession Correction Using Clear Aligners
Bucur, S. M., Bud, E. S., Decusară, M. V., & Olteanu, C.-D. (2024) · Medicina · doi:10.3390/medicina60122024 · Cited by 5 · see citing works
Exploring the symbiotic relationship between orthodontics and periodontics
Chaushu, S. (2024) · Seminars in Orthodontics · doi:10.1053/j.sodo.2024.01.014 · Cited by 4 · see citing works
Hashim, N. T., Dasnadi, S. P., Ziada, H., Rahman, M. M., Ahmed, A. E., Mohammed, R., Islam, M. S., Mascarenhas, R., Gismalla, B. G., & Abubakr, N. H. (2025) · Dentistry Journal · doi:10.3390/dj13020059 · Cited by 2 · see citing works
Andrade, W. R. N., Gutierrez, J. L. O., Aguirre, S. J. C., Alulima, N. P. M., Picón, M. Y. Y., Carrasco, M. F. L., & Arcentales, M. B. D. (2024) · Research Society and Development · doi:10.33448/rsd-v13i7.46280 · Cited by 1 · see citing works
Liu, X., Zhang, M., Fan, X., Luo, H., Wang, A., Zhang, X., Qin, Y., Zhang, X., Jin, Z., & Ma, Y. (2026) · Annals of Biomedical Engineering · doi:10.1007/s10439-026-04071-3 · Cited by 1 · see citing works
Kaur, G., Kaur, K., Kaur, C., Arora, J., Grover, V., Saluja, P., Baba, S. M., Khateeb, S. U., Arora, S., Alanesi, W. A., et al. (2026) · Medicine · doi:10.1097/md.0000000000048288 · Cited by 1 · see citing works
Jepsen, K., Tietmann, C., Proff, P., & Jepsen, S. V. (2026) · Periodontology 2000 · doi:10.1111/prd.70046 · Cited by 1 · see citing works
Martín, C., Papageorgiou, S. N., González‐Martín, O., & Sanz, M. (2024) · Periodontology 2000 · doi:10.1111/prd.12613 · Cited by 1 · see citing works
Self-citationEl-Haddad, S. A. E.-M., Bukhary, F., Alrahaimi, R. Y., Alkhaldi, A. F., & Aldhelaan, A. (2025) · European Journal of Orthodontics · doi:10.1093/ejo/cjaf045 · Cited by 1 · see citing works
Giap, H.-V., Kang, S.-H., Paik, J., Oh, K. C., & Lee, K. (2025) · The Angle Orthodontist · doi:10.2319/041524-299.1
Harsas, N. A., Tadjoedin, F. M., Deandra, F. A., & Soeroso, Y. (2025) · The Open Dentistry Journal · doi:10.2174/0118742106433083251129070311
Managing Periodontitis in Orthodontics: Tailored Approaches Based on the 2017 Classification
Becker, P., McPhillie, M., Koba, S., & Elshiwy, K. (2025) · Annals of Orthodontics and Periodontics Specialty · doi:10.51847/2y28arb6vs
Clear Aligner Therapy in Adults With Stage II-IV Periodontitis: A Narrative Review
kumari, S., Gothankar, G. S., Nithin, K., V, Rai, S., Rana, S. S., & Dixit, A. (2026) · Cureus · doi:10.7759/cureus.103095
Orthodontic finishing strategies for long-term stability
Karad, A. (2026) · Seminars in Orthodontics · doi:10.1053/j.sodo.2026.02.003
Dashti, A., Reda, M., Abdullah, H., Karam, B., Abdulaziz, A., Mohammed, H., Alashwak, Z., Almesbah, F., Alresheedi, B., Alsairefi, A., et al. (2026) · International Journal of Community Medicine and Public Health · doi:10.18203/2394-6040.ijcmph20261839
Nagy, P., Dobos, A., Nemes, B., Kövér, K., & Windisch, P. (2026) · Journal Of Clinical Periodontology · doi:10.1111/jcpe.70183
Kombinierte PAR- und KFO-Therapie bei Stadium-IV-Parodontitis (Falltyp 2)
Jepsen, K., Tietmann, C., Bunke, J., Kutschera, E., & Jepsen, S. V. (2026) · Zahnmedizin up2date · doi:10.1055/a-2866-8096
Bone and Furcation Changes in Molars After Comprehensive Orthodontics
Lee, J. Y.-C., Tsai, S.-J., Wei, H.-J., Chang, C.-H., Chuang, H.-Y., Sun, J.-S., & Chang, J. Z. (2026) · International Dental Journal · doi:10.1016/j.identj.2026.109794
- Authors
- Papageorgiou, S. N., Antonoglou, G. N., Eliades, T., Martin, C., & Sanz, M.
- Affiliations
- University of Zurich (CH)
- King's College London (GB)
- Universidad Complutense de Madrid (ES)
- Corresponding author
- Papageorgiou, Spyridon N.
- Venue
- Seminars in Orthodontics
- Publisher
- Elsevier BV
- Published
- 2024-05
- Volume
- 30
- Issue
- 2
- Pages
- 123-134
- ISSN
- 1073-8746 (ISSN-L)
- OpenAlex
- W4390750181
- Cited by
- 23
- References
- 135
- Citations by year
- 2026: 9 · 2025: 8 · 2024: 6
- FWCI
- 9.66
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Seminars in Orthodontics (publishedVersion, cc-by)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, cc-by)
- Topics
- Health Sciences › Dentistry › Orthodontics › Orthodontics and Dentofacial Orthopedics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
- Keywords
- orthodontic treatment, periodontitis, severe periodontitis, periodontal disease, orthodontic treatment planning
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
