title: Aggressive periodontitis diagnosed during or before orthodontic treatment.
abstract: OBJECTIVE
  The aim was to review the literature on aggressive periodontitis diagnosed during or before the initiation of orthodontic treatment and to propose preventive recommendations before, during and after orthodontic treatment.
  
  
  METHODS
  Literature searches of free text and MeSH terms were performed by using PubMed, Embase and the Cochrane Library and the appropriate studies were selected. The retrieved articles were analyzed and the relevant data was tabulated according to different parameters.
  
  
  RESULTS
  A total of 220 articles were found in the preliminary search. Eighteen studies, all case reports, describing 21 cases from this search met all the criteria. The mean age of the reported cases was 21.12 years, all treated with combined periodontal and orthodontic modalities. Most of the reported cases were female.
  
  
  CONCLUSIONS
  An interdisciplinary dental team must approve the periodontal health prior to and during the course of the orthodontic therapy. In subjects with periodontal pathology, a periodontal consultation and interceptive/corrective therapy should be performed prior to commencing with orthodontic treatment. Orthodontic treatment should be postponed or replanned in order to shorten treatment duration and reduce the orthodontic forces exerted on the aggressive periodontitis involved dentition.
authors.affiliation: Orthodontic and Craniofacial Department, School of Graduate Dentistry Rambam Health Care Campus and Technion Faculty of Medicine, Haifa, Israel.
authors.forename: Hagai
authors.initials: H
authors.lastname: Hazan-Molina
authors.forename: Liran
authors.initials: L
authors.lastname: Levin
authors.forename: Shmuel
authors.initials: S
authors.lastname: Einy
authors.forename: Dror
authors.initials: D
authors.lastname: Aizenbud
mesh_terms: D006801:Humans; D009970:Orthodontics; D010518:Periodontitis / Q000175:diagnosis* / Q000628:therapy