Periodontal Problems during Orthodontic Treatment

O.SANDID

SQODF

2007

Periodontal Problems during Orthodontic Treatment

• 1-Gingival hyperplasia, Gingival hypertrophy, Gingival inflammation

• 2-Reduced Perio Support - Crestal bone loss

• 3- External Apical Root Resorption

• 4- Bacteremia after Orthodontic Banding

• 5-Gingivitis - Periodontitis

• 6-Gingival recession

• 7-Periodontal pocket- extraction site

• 8-Root proximity

• 9-Screw failure in orthodontic anchorage

• 10- Black triangle

• 11-Surgical exposure technique And Ankylosis Canine-Extraction Premolar ?

• 12-Traumatic occlusion

• 13-Tmj dysfunctions

1-Periodontal Problems during Orthodontic Treatment Gingival hyperplasia

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Gingival hyperplasia developed after 1-2 months of orthodontic appliance being placed

Evaluation and maintenance of periodontal health before, during and after treatments is very important.

DR.JEBIN

www.orthofree.com

1-Periodontal Problems during Orthodontic Treatment Gingival hypertrophy

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Diastema closure may cause gingival hypertrophy

1-Periodontal Problems during Orthodontic Treatment Gingival inflammation

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Gingival inflammation due to poor oral hygiene.

2-Periodontal Problems during Orthodontic Treatment Reduced Perio Support - Crestal bone loss

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Crestal bone loss occuring with orthodontic treatment associated with poor oral hygiene

William F. Holt and Judith B. Rose (1)

3-Periodontal Problems during Orthodontic Treatment External Apical Root Resorption

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External Apical Root Resorption (EARR) during active orthodontic treatment

William F. Holt and Judith B. Rose (1)

4-Periodontal Problems during Orthodontic Treatment Bacteremia after Orthodontic Banding

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DR.JEBIN

The use of steel ligatures is recommended on all brackets, even the tooth-colored brackets, because elastometric rings attract significantly more plaque than steel ties.

Self-Ligating braces eliminate the need for elastic or metal ties

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5-Periodontal Problems during Orthodontic Treatment Gingivitis - Periodontitis

DR.JEBIN

Orthodontic bands that extend subgingivally, coupled with plaque accumulation where a generalized increase in salivary bacterial counts, especially Lactobacillus,

had been shown after orthodontic band placement. Solutions: Tubes

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Periodontal Problems during Orthodontic Treatment Gingivitis – Periodontitis

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DR.JEBIN

Orthodontic bands that extend subgingivally

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6-Periodontal Problems during Orthodontic Treatment Gingival recession

Before trt After Trt

Expansion +++ Gingival recession

7-Periodontal Problems during Orthodontic Treatment Periodontal pocket- extraction site

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Dr Elhachawi

8-Periodontal Problems during Orthodontic Treatment

Root proximity www.orthofree.com

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9 -Periodontal Problems during Orthodontic Treatment Screw failure in orthodontic anchorage

10-Periodontal Problems during Orthodontic Treatment Black triangle

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DR.JEBIN

Black triangle

Interproximal stripping and close space, Converge root angulations, Mucogingival surgery to augment inter dental papilla

11-Periodontal Problems during Orthodontic Treatment www.orthofree.com

O.SANDID

Surgical exposure technique And Ankylosis Canine-Extraction Premolar ?

12-Periodontics- Traumatic occlusion www.orthofree.com

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512012000600003

Traumatic occlusion

13-Tmj dysfunctions www.orthofree.com

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