APOLONIA 41-42 (2020)
Тhe impact of malformed teeth on the periodontium
Authors: Zumri Emurllai, Marija Zuzelova, Marija Nakova, Sabetim Çerkezi
DOI: To be acquired
Keywords: malignant teeth, periodontal health, orthodontic treatment.
ABSTRACT
Aim: to show the association of malformed teeth with
periodontal health.
Materials and methods: total of 350 patients were examined, of
both genders, aged 17 to 45 years, 105 patients were
selected for this study with the presence of a mapped
tooth and periodontal problem. For each patient, first
a visual inspection is performed to determine the type
of malignant tooth / teeth and immediately afterwards,
a periodontal diagnosis is made, compared to the
following clinical parameters: bleeding at diagnosis
during sowing, loss of paradental adaptation, and
depth at suturing.
To all was made a statistical analysis with
numerical marks, Descriptive statistics (minimum,
maximum values, standard deviation and coefficient
of variation). The Chi-square test was also used for
the analysis, and when the conditions for its use
were not met, the correct test fissure was used. The
significance level is set at 5.0%.
Results: The most common anomalies present in this study
are: tooth/teeth rotations with 76.9%, 48.9%
compactness and mesial inclination of the molar
with 47.8%. Distribution of pathological periodontal
changes has been shown in patients with the presence
of mesial inclination of the molar /molars, and have
100% chronic marginal gingivitis, in isolated buccal
inclination of the tooth with 71.8%, increase in gingiva
in some areas with density in the frontal region with
47.8 %, and with chronic periodontitis with 48.9%.
In all of the types, only the isolated buccal inclined
teeth and the over-protrusion of the maxillary incisor
were significantly associated with gingival recession
(p < 0.05).
Conclusion: From the selected sample with
different types of anomalies in the position of the tooth / teeth, were significantly associated with changes
in the periodontium, such as: chronic marginal
gingivitis, increased gingivitis, gingival recession and
chronic periodontitis. Patients were recommended
orthodontic treatment as well as basic and surgical
periodontal treatment.