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HERRERA ET AL .
FIGURE 2 Flowchart illustrating how orthodontic therapy (OT) of stage IV periodontitis patients can be integrated in the overall periodontal treatment plan with reference to the recommendations R7.1 – R7.8 of the S3-Level clinical practice guideline for the treatment of stage IV periodontitis. Steps of periodontal therapy were described in the S3-Level clinical practice guideline for the treatment of periodontitis stage I – III (Sanz, Herrera, et al., 2020). CAL, clinical attachment loss; PPD, probing pocket depth; BOP, bleeding on probing; RBL, radiographic bone loss; 4 weeks, 4 weeks; 6 months, 6 months; post-op, post-operative
(Continued) PICOS question addressed by a SR
7.2 | Clinical recommendations for case type 2: Orthodontic therapy in the treatment of stage IV periodontitis patients R7.1. In stage IV periodontitis patients, when there is an indication for both periodontal and orthodontic therapy, what is the effect of orthodontic therapy (OT) on periodontal health and what are the possible adverse effects and complications?
R7.1: Evidence-based recommendation b. it does not significantly affect gingival inflammation (bleeding on probing — BOP) and gingival recession ; c. it does not lead to a significant increase in root resorption . Supporting literature (Martín et al., 2021) Quality of evidence Moderate Grade of recommendation GradeB — " Strength of consensus Consensus (0% of the group abstained due to potential CoI)
PICOS question addressed by a SR
R7.1: Evidence-based recommendation In successfully treated stage IV periodontitis patients in need of orthodontic therapy , we suggest undertaking OT based on evidence that : a. it does not significantly affect periodontal outcomes (probing pocket depth-PPD and clinical attachment levels-CAL) ;
Background
Intervention
Treated stage IV periodontitis patients frequently require OT to restore the tooth position and functional occlusion, which during the
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