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The oral microbiome plays an important role in maintaining oral and systemic health, yet orthodontic treatment can alter the composition of biofilms within the oral cavity. Fixed and removable appliances create niches for bacterial accumulation, potentially disrupting the balance of the microbial communities. This review explores the impact of orthodontic treatment on the oral microbiome and examines evidence linking microbial changes to systemic health conditions such as cardiovascular disease and diabetes. Understanding these interactions can help orthodontists implement preventive strategies, including improved hygiene protocols, to optimize patient outcomes. CPD/Clinical Relevance: Understanding the interplay between orthodontic treatment and the oral microbiome is important for preventing oral and general health complications.
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Kennedy et al. (2026) studied this question.
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