periodontal surgery for the orthodontic patient mohamad aboualnaser - oussama sandid 2009

Periodontics- Orthodontic interrelationships

interdisciplinary approach

Periodontal Surgery for the Orthodontic Patient

DR MOHAMAD ABOUALNASER- Orthodontiste- BUA- USA DR OUSSAMA SANDID – Orthodontist- France

2009

Periodontal Surgery for the Orthodontic Patient

• 1. Pericision-Circumferential Supracrestal Fiberotomy

• 2. Frenectomy

• 3. Mucogingival considerations

• 4. Gingival Grafting

• 5-Surgical Exposure of Impacted Tooth For Orthodontics

• 6- Extraction supernumerary teeth mesiodens

• 7- Mini-implant pose

• 8- Gummy smile

• 9- Wisdom tooth

MOHAMAD ABOUALNASER-OUSSAMA SANDID

1-Periodontics- Pericision-Circumferential Supracrestal Fiberotomy

Relapse of severely rotated teeth due to rebound of elastic fibres in the supracrestal tissues can be reduced by pericision. Fiberotomy (CSF) Preventing Orthodontic Relapse

http://www.aso.org.au/members/NSW%20Brighter%20Futures/Brighter_Futures_002.pdf

www.orthofree.com


2-Periodontics- Frenectomy

http://www.omahaperio.com/services/frenectomy.aspx


2-Periodontal Surgery for the Orthodontic Patient

http://www.mrzperio.com/

Frenectomy

Frenectomy: is the complete removal of the frenum, including its attachment to the underlying bone. Frenectomies was a commonly performed procedure which was an excisional surgery carried over to the palatal aspect. Since this procedure includes the complete removal of the frenum, a common complication encountered with this technique is the undesireable loss of interdental papilla. The frenotomy which is a more superficial procedure, with only partial removal of the frenum and just a relocation of the attachment, is an esthetically preferable procedure lately . In frenotomy, the attachment to the gingiva and periosteum is severed and the insertion of the frenum is relocated upto the alveolar mucosa Frenotomy may be indicated in the mandible when a marked frenum attaches within thin gingiva and there is risk of development of labial recession.Another procedure to eliminate the alleged relapse is the Z plasty technique, which does not remove the frenum but instead is intended to relax the pull of the frenum of the interdental soft tissue.


3-Periodontics- Mucogingival considerations

Gingivae a. before and b. after crossbite correction.



4-Periodontics-Gingival recesion -Gingival Grafting



4-Periodontal Surgery for the Orthodontic Patient


Gingival recesion - Gingival Grafting


4-Periodontics-Gingival recesion -Gingival Grafting


5-Periodontics- Surgical Exposure of Impacted Tooth For

Orthodontics

O.SANDID- O.Migault

Surgical Exposure of Impacted Tooth For Orthodontics


5-Periodontics- Surgical Exposure of Impacted Tooth For

Orthodontics

Surgical Exposure of Impacted Tooth For Orthodontics



6-Extraction supernumerary teeth- mesiodens

Dr O.SANDID


7-Periodontics- Impacted Wisdom teeth

Pericoronitis

Impacted Wisdom teeth

www.orthofree.com


7-Wisdom tooth extraction-Bone Loss Distal to the 2nd Molar

www.orthofree.com


Repositioning - impaction lower second molar MOHAMAD ABOUALNASER-OUSSAMA SANDID

Interdisciplinary approach to improve smile esthetics

http://www.gummysmile.com/

The problem: The combination of the overgrown gum tissue and the high lip line are working together to reduce the beauty of this smile.

The solution: Following minimally-invasive surgery, where the patient had no post-surgical pain, we can now see the fullness of her smile. Her high lip line is not a severe problem and is less of a concern.

Gummy smile


Interdisciplinary approach to improve smile esthetics

http://www.gummysmile.com/

Gummy smile


Gingivectomy to reduce bulk of excess gum tissue


Periodontics-Gingival esthetics

A, B) Smile esthetics affected by disharmonious gingival contours although anterior teeth look well aligned and leveled. C, D) Improved gingival contour after periodontal surgery and orthodontic

movement. Gingivectomies were performed on teeth #12 and 21, as well as intrusion of #11 with subsequent restoration of its incisal edge. During orthodontic intrusion, tooth #11 moved apically,

carrying with it the entire periodontium, while maintaining biological distances.

Máyra Reis Seixas1, Roberto Amarante Costa-Pinto2, Telma Martins de Araújo3, Dental Press J Orthod. 2012 Sept-Oct;17(5):190-201


7-Periodontics- Mini-implant

Anchorage control with mini-implant has become an important part of the clinical management of the orthodontic patients.

L. Massif, L. Frapier, EMC

www.orthofree.com


Corticotomy facilitated orthodontics

http://parkell.cdeworld.com/


Periodontics- Black triangle

http://www.oralhealthgroup.com/news/treating-the-dreaded-black-triangle/1002990029/?&er=NA

www.orthofree.com


Median dark space caused

A) Median dark space caused by alveolar bone crest loss B) Interproximal stripping performed with diamond steel disk at low rotation; C) polishing of the stripped surfaces with flexible strips of sandpaper and whiting D) space created between incisors; E, F) bringing teeth closer together with elastomeric chains, showing improvement in papillary esthetics.

Máyra Reis Seixas1, Roberto Amarante Costa-Pinto2, Telma Martins de Araújo3, Dental Press J Orthod. 2012 Sept-Oct;17(5):190-201


Combined endodontic-orthodontic and prosthodontic treatment of fractured teeth


Periodontics Tmj dysfunctions MOHAMAD ABOUALNASER-OUSSAMA SANDID

Supracrestal Fiberotomy Frenectomy Gingival Grafting

Surgical Exposure Extraction supernumerary teeth Wisdom tooth

Mini-implant Gummy smile Repositioning - impaction


Periodontal Surgery for the Orthodontic Patient O.SANDID

periodontal surgery for the orthodontic patient mohamad aboualnaser - oussama sandid 2009

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