Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 196–202
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COMPARATIVE ANALYSIS OF PERIODONTAL HEALTH IN PATIENTS TREATED WITH SEGMENTAL ORTHOGNATHIC SURGERY VERSUS CONVENTIONAL ORTHODONTIC SPACE CLOSURE

Sumit Bhatt*, Amrit Podder, Gopal Krishna

Rajasthan Dental College and Hospital · Teerthanker Mahaveer University · All India Institute of Medical Sciences, Deoghar

Received: 2026-04-08 · Published: 2025-11-04

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Original title
COMPARATIVE ANALYSIS OF PERIODONTAL HEALTH IN PATIENTS TREATED WITH SEGMENTAL ORTHOGNATHIC SURGERY VERSUS CONVENTIONAL ORTHODONTIC SPACE CLOSURE
Authors
Sumit Bhatt, Amrit Podder, Gopal Krishna
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-11-04
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.21.10-196

Abstract

Background: The choice of treatment for patients with malocclusion often involves either segmental orthognathic surgery or conventional orthodontic space closure. While both methods aim to improve dental alignment, they may have distinct impacts on periodontal health. This study aimed to compare the periodontal health outcomes in patients treated with segmental orthognathic surgery versus those treated with conventional orthodontic space closure. Methods: A retrospective cohort study was conducted, including 100 patients (50 in each group). Periodontal health was assessed using probing depth (PD), clinical attachment loss (CAL), bone loss, and gingival recession at three time points: pre-treatment, post-treatment, and 12 months post-treatment. Data were analyzed using descriptive and inferential statistics, including paired t-tests and independent t-tests, with a significance level of p < 0.05. Results: Segmental orthognathic surgery resulted in greater increases in PD, bone loss, and gingival recession compared to conventional orthodontic space closure. Group 1 (surgical) patients experienced more pronounced changes in periodontal health, while Group 2 (space closure) patients showed relatively stable periodontal outcomes. Significant differences in bone loss and gingival recession were noted between the two groups (p < 0.05). Conclusion: Both treatments affected periodontal health, but segmental orthognathic surgery was associated with more adverse periodontal outcomes. Conventional orthodontic space closure demonstrated fewer negative effects on periodontal tissues and may be a preferable option for patients with less severe skeletal discrepancies.
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