RESUMO Introdução: O tratamento ortodôntico fixo é frequentemente acompanhado de acúmulo de placa ao redor dos braquetes, o que aumenta o número de bactérias periodontopatogênicas. Objetivo: O objetivo desse estudo foi determinar as alterações ocorridas na microflora subgengival seis meses após a colocação de aparelho ortodôntico fixo. Métodos: O estudo incluiu 30 pacientes com idades entre 13 e 35 anos, dos quais foram coletadas amostras de placa subgengivaln antes do início do tratamento ortodôntico fixo e após seis meses, no espaço subgengival distovestibular dos incisivos centrais esquerdos superior (U1) e inferior (L1), e espaço subgengival mesiovestibular dos primeiros molares esquerdos superior (U6) e inferior (L6). Usando o método PCR, as amostras de materiais foram testadas quanto à presença das seguintes bactérias: Tannarela forsythia, Treponema denticola, Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans, Prevotella intermedia, Prevotella nigrescens e Eikenella corrodens. Resultados: Seis meses após a colocação do aparelho ortodôntico fixo, foi encontrado um aumento significativo de pacientes com presença de bactérias, especialmente na região dos molares: Tannarela forsythia (U6 T1 10%-T2 80%, L6 T1 16,67%-T2 80%), Porphyromonas gingivalis (U6 T1 60%-T2 90%, L6 T1 60%-T2 83,33%), Prevotella intermedia (U6 T1 23,33%-T2 73,33%, L6 T1 26,67%-T2 76,67%), Prevotella nigrescens (U6 T1 16,67%-T2 63,33%, L6 T1 23,33%-T2 73,33%) e Eikenella corrodens (U6 T1 26,67%-T2 63,33%, L6 T1 23,33%-T2 73,33%). Conclusão: Na fase inicial do tratamento ortodôntico fixo, foi observado um aumento no número de pacientes com bactérias periodontopatogênicas Tannarela forsythia, Treponema denticola, Porphyromonas gingivalis, Prevotella intermedia, Prevotella nigrescens e Eikenella corrodens.
ABSTRACT Introduction: Fixed orthodontic therapy is often accompanied by accumulation of plaque around the orthodontic brackets, which increases the number of periodontopathogenic bacteria. Objective: The objective of this study was to determine the changes in the subgingival microflora that occurred six months after the placement of a fixed orthodontic appliance. Methods: The study included 30 patients aged 13 to 35 years, in whom samples of subgingival plaque were taken before and six months after the start of fixed orthodontic therapy from the disto-buccal subgingival space of the left upper (U1) and lower central incisors (L1), mesio-buccal subgingival space of left upper (U6) and lower (L6) first molars. Material samples were tested for the presence of the following bacteria: Tannarela forsythia, Treponema denticola, Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans, Prevotella intermedia, Prevotella nigrescens and Eikenella corrodens, using the PCR method. Results: A significant increase of patients with presence of bacteria especially in the molar region was found: Tannarela forsythia (U6 T1 10%-T2 80%, L6 T1 16.67%-T2 80%), Porphyromonas gingivalis (U6 T1 60%-T2 90%, L6 T1 60%-T2 83.33%), Prevotella intermedia (U6 T1 23.33%-T2 73.33%, L6 T1 26.67%-T2 76.67%), Prevotella nigrescens (U6 T1 16.67%-T2 63.33%, L6 T1 23.33%-T2 73.33%) and Eikenella corrodens (U6 T1 26.67%-T2 63.33%, L6 T1 23.33%-T2 73.33%) six months after the placement of the fixed orthodontic appliance. Conclusion: In the initial phase of fixed orthodontic therapy, an increase in the number of patients with periodontopathogenic bacteria Tannarela forsythia, Treponema denticola, Porphyromonas gingivalis, Prevotella intermedia, Prevotella nigrescens and Eikenella corrodens was observed.