Preventing and management of mouth ulcers caused by orthodontic
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20250041Keywords:
Orthodontic-induced ulcers, Mouth ulcer management, LLLT, Oral hygiene strategies, Orthodontic appliance irritationAbstract
Orthodontic-induced mouth ulcers are a common complication arising from mechanical irritation and increased plaque accumulation during treatment. These painful lesions significantly impact the comfort and compliance of patients undergoing orthodontic care. Various factors contribute to their development, including appliance design, oral hygiene, dietary habits, stress, and systemic conditions like nutritional deficiencies. Effective prevention and management strategies are essential to mitigate these effects and enhance patient outcomes. Prevention focuses on minimizing mechanical trauma through improved appliance designs such as rounded brackets and self-ligating systems, and the use of protective barriers like orthodontic wax and silicone strips. Maintaining optimal oral hygiene with adjunctive tools, antimicrobial rinses, and dietary adjustments plays a pivotal role in reducing plaque accumulation and preventing mucosal injuries. Behavioral interventions, including stress management and addressing parafunctional habits, further support ulcer prevention. Management approaches include the use of topical treatments like corticosteroid-based ointments and bio-adhesive gels to alleviate pain and promote healing. Low-level laser therapy (LLLT) accelerates tissue repair and provides analgesic effects, emerging as an effective adjunctive treatment. In more severe cases, systemic antibiotics or anti-inflammatory medications may be employed to control secondary infections and support immune responses. Patient education is critical in ensuring adherence to these strategies, emphasizing the importance of dietary modifications, stress control, and consistent oral care. Comprehensive care combining innovative technologies, evidence-based treatments, and personalized patient support addresses both the etiology and impact of orthodontic-induced ulcers. These integrated strategies not only reduce the incidence and severity of lesions but also improve overall patient satisfaction and treatment compliance. As advancements in materials and therapeutic modalities continue, the potential for enhanced outcomes in orthodontic care grows, ensuring better quality of life for patients during treatment.
Metrics
References
Köse E, Ay Ünüvar Y. Examination of Oral Mucosa of Children of Under Fixed Orthodontic Treatment. Int Arch Dental Sci. 2021;42(2):95-101. DOI: https://doi.org/10.5505/eudfd.2021.31932
Chang J, Li X. Multivariate analysis of oral mucosal ulcers during orthodontic treatment. World J Clin Cases. 2024;12(26):5868. DOI: https://doi.org/10.12998/wjcc.v12.i26.5868
Sharp C. Orthodontics in the city: Top tips to prevent orthodontic emergencies. BDJ Team. 2024;11(9):396-8. DOI: https://doi.org/10.1038/s41407-024-2787-8
Bagade S. Laser sparks in tiny teeth: A pediatric odyssey for radiant grins. J Indian Society Pedodont Prevent Dentistry. 2024;42(1):9-14.
Tadin A, Badrov M, Mikelic Vitasovic B, Gavic L. Assessment of Motivations, Treatment Risks, and Oral Health in Adults with Fixed Orthodontic Care: A Cross-Sectional Study. Medicina. 2024;60(7):1149. DOI: https://doi.org/10.3390/medicina60071149
Ru L, Minghe Z, Jiaye W. Effect of Semiconductor Laser on Orthodontic Traumatic Ulcer in Rats. J Laser Biol. 2024;33(4):306.
AlSayed Hasan MMA, Sultan K, Ajaj M, Voborná I, Hamadah O. Low-level laser therapy effectiveness in reducing initial orthodontic archwire placement pain in premolars extraction cases: a single-blind, placebo-controlled, randomized clinical trial. BMC Oral Health. 2020;20:1-9. DOI: https://doi.org/10.1186/s12903-020-01191-7
Akhoon AB, Mushtaq M, Zameer S. Orthodontic management of medically compromised patients. J Adv Med Dent Scie Res. 2020;8(3):6-18.
Jasim HA, Obaid DH. The Adverse Effect Of Orthodontic Treatment. The College of Dentistry, University of Baghdad, department of Orthodontics in Partial Fulfillment for the Bachelor of Dental Surgery. 2022.
Abdul Aziz A, Chong J, Mohd Sahudi R. Spontaneous sequestration on oral mucosa. IJOHS. 2023;4(1):105-9. DOI: https://doi.org/10.31436/ijohs.v4i1.160
AlShehri A. Possible Risks of Orthodontic Treatment. EC Dental Sci. 2023;22:01-10.
Wishney M. Potential risks of orthodontic therapy: a critical review and conceptual framework. Austr Dental J. 2017;62(1):86-96. DOI: https://doi.org/10.1111/adj.12486
Baleanu R. The effects of low level laser therapy and led-meditated photobiomodulation on the pulp canal volume of human premolars undergoing orthodontic tooth movement. Discipline Of Orthodontics Faculty Of Dentistry University Of Sydney, Australia. 2021.
Kumar AN, Jadhav V, Jawalekar R, et al. Light Emitting Diode Mediated Photobiomodulation Therapy in Orthodontics--A Review of Contemporary Literature. J Evolution Med Dental Sci. 2021;10(32):2672-80. DOI: https://doi.org/10.14260/jemds/2021/545
Korczeniewska OA, Dakshinamoorthy J, Prabhakar V, Lingaiah U. Genetics Affecting the Prognosis of Dental Treatments. Dental Clin. 2024;68(4):659-92. DOI: https://doi.org/10.1016/j.cden.2024.05.003
Abdulsamee N, Elkhadem A, Nagi P. Low Level Laser Therapy: Its Expanded Tentacles in Dentistry, Review. Dentistry. 2020;10(567):1-8.
Tonetti MS, Sanz M. Implementation of the new classification of periodontal diseases: Decision‐making algorithms for clinical practice and education. J Clin Periodontol. 2019;46(4):398-405. DOI: https://doi.org/10.1111/jcpe.13104
Wang L, Wang C, He H. The Potential Regulatory Role of Ferroptosis in Orthodontically Induced Inflammatory Root Resorption. Int J Molecular Sci. 2024;25(24):13617. DOI: https://doi.org/10.3390/ijms252413617
Yeung S, Howell S, Fahey P. Oral hygiene program for orthodontic patients. Am J Orthodont Dentofac Orthoped. 1989;96(3):208-13. DOI: https://doi.org/10.1016/0889-5406(89)90457-5