The Effect of Orthodontic Therapy on Periodontal Health: A Review of the Literature (original) (raw)

'fhe aim of this review is to provide the general dental practitioner with an understanding of the relationship between periodontal health and orthodontic therap,v. Specific areas reviewed, are how periodon-. tal tissue reacts to orthodontic forces, intluence of tooth lnovement on the periodontiunt, effect of orlhodontic bands on the periodontium, and time relationship between orthodontic treatment and periodontal therapy. In addition! some focus rvill give on the relationship between orthodontics and irnplant restorations (e.g., using dental implants as orthodontic anchorage).

With a number of patients opting for orthodontic therapy for esthetic reasons, it becomes necessary to evaluate the resulting effects of orthodontic treatment on the periodontal tissues. In many cases, orthodontic tooth movement improves the periodontal conditions, and also, periodontal therapy often facilitates orthodontic tooth movement. The orthodontic treatment for the patients need to be carefully planned and carried out in order to prevent unwanted effects on the periodontium. So it is of great importance to determine the need and consequences of interdisciplinary periodontal-orthodontic approach in order maintain harmonious periodontal and orthodontic relation and bring out the best results for the patient. Thus, the aim of this review is to discuss in detail the effects of various orthodontic forces on the periodontal tissues.

Summary Background No evidence is present on the risk for external apical root resorption (EARR) during orthodontic treatment (OT) of adult patients with periodontal disease. Aim To examine EARR after OT in subjects with periodontal disease and to analyse how intrusion and change in inclination of the most proclined maxillary incisors influence EARR. Methods The study included 50 patients with periodontal disease. Sub-gingival debridement by ultrasonic instrumentation supplemented with hand instruments was performed by experienced dental hygienist after baseline examination for all patients. For the control group, final periodontal treatment (PT) was performed before orthodontic tooth movement. For the test group patients, final PT was performed after levelling and alignment phases were finished, before the active space closure with elastic chain and/or inter-arch elastic traction for sagittal correction was started. OT was performed with a straight-wire appliance. Micro-implants or...

Harmonious cooperation of the general dentist, the periodontist and the orthodontist offers great possibilities for the treatment of combined orthodontic–periodontal problems. Orthodontic treatment along with patient's compliance and absence of periodontal inflammation can provide satisfactory results without causing irreversible damage to periodontal tissues. Orthodontic treatment carries with it the risks of tissue damage, treatment failure and an increased predisposition to dental disorders. The dentist must be aware of these risks in order to help the patient make a fully informed choice whether to proceed with orthodontic treatment. The aim of this study is to discuss the principles of orthodontic treatment in patients with reduced periodontium, its indications and limitations, as well as current views concerning retention of orthodontic result.

There is a need to consider numerous factors in orthodontic treatment, including diagnosis before and during treatment. This activity is necessary to prevent the incidence of periodontal abnormalities or the aggravation of existing ones, which is possibly overcome through orthodontic treatment under certain circumstances.

Aim: The purpose of this study was to determine the periodontal condition of patients who seeked orthodontic treatment. Methods: One hundred patients reported to the orthodontic department were selected between 12 and 25 years of age with complete supplementation of a permanent denture. Significant medical problems, history of antibiotics, orthodontic treatment and smokers were excluded. The community periodontal index was used to assess the periodontal status of these patients. The data of these 100 patients were analyzed using SPSS (version 18.0) on a personal computer. Conclusion: The results showed that gingival hemorrhage was the main presentation of patients who came to the orthodontic department for treatment and then mathematics.

The interrelation between orthodontics and periodontics is evident. In daily practice is common to meet patients with periodontal disease associated with dental malpositions. In addition, it is also common to observe dental migrations secondary to periodontal disease. In this context, the dentist may have to question the possibility and the necessity of orthodontic treatment. The question is if orthodontic treatment improves the existing periodontal situation and if is possible to perform orthodontic treatment on a reduced periodontium without causing other complications. This review highlights three most important periodontal complications of the orthodontic treatment and it assesses the necessity of the periodical periodontal controls and treatments before, during and after the orthodontic treatment.

Interdisciplinary approach helps the specialists of contributing disciplines immensely in diagnosis, treatment planning, execution of planned treatment and problem solving for any untoward complication. Orthodontic treatment may be adjunctive to periodontal therapy or vice versa. Periodontal problems might lead to occlusal abnormalities which may require orthodontic correction. Also orthodontic treatment of adult patients is most frequently just one component of a more complex treatment involving several dental disciplines. Various orthodontic treatments also may precipitate some periodontal problems which frequently require periodontal management. This report discusses, through representative cases, potential periodontal problems and their management encountered before, during and after orthodontic treatment.