Periodontal problems during orthodontic treatment-SANDID - O- PDF

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Periodontal problems during orthodontic treatment-SANDID - O- PDF

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Periodontal problems during orthodontic treatment-SANDID - O- PDF

  1. 1. Periodontal Problems during Orthodontic Treatment O.SANDID SQODF 2007
  2. 2. 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
  3. 3. 1-Periodontal Problems during Orthodontic Treatment Gingival hyperplasia www.orthofree.com 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
  4. 4. 1-Periodontal Problems during Orthodontic Treatment Gingival hypertrophy www.orthofree.com Diastema closure may cause gingival hypertrophy
  5. 5. 1-Periodontal Problems during Orthodontic Treatment Gingival inflammation WWW.ORTHOFREE.COM Gingival inflammation due to poor oral hygiene.
  6. 6. 2-Periodontal Problems during Orthodontic Treatment Reduced Perio Support - Crestal bone loss WWW.ORTHOFREE.COM Crestal bone loss occuring with orthodontic treatment associated with poor oral hygiene William F. Holt and Judith B. Rose (1)
  7. 7. 3-Periodontal Problems during Orthodontic Treatment External Apical Root Resorption WWW.ORTHOFREE.COM External Apical Root Resorption (EARR) during active orthodontic treatment William F. Holt and Judith B. Rose (1)
  8. 8. 4-Periodontal Problems during Orthodontic Treatment Bacteremia after Orthodontic Banding www.orthofree.com 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 www.orthofree.com
  9. 9. 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 www.orthofree.com
  10. 10. Periodontal Problems during Orthodontic Treatment Gingivitis – Periodontitis www.orthofree.com DR.JEBIN Orthodontic bands that extend subgingivally www.orthofree.com
  11. 11. 6-Periodontal Problems during Orthodontic Treatment Gingival recession Before trt After Trt Expansion +++ Gingival recession
  12. 12. 7-Periodontal Problems during Orthodontic Treatment Periodontal pocket- extraction site www.orthofree.com Dr Elhachawi
  13. 13. 8-Periodontal Problems during Orthodontic Treatment Root proximity www.orthofree.com www.orthofree.com
  14. 14. 9 -Periodontal Problems during Orthodontic Treatment Screw failure in orthodontic anchorage
  15. 15. 10-Periodontal Problems during Orthodontic Treatment Black triangle www.orthofree.com DR.JEBIN Black triangle Interproximal stripping and close space, Converge root angulations, Mucogingival surgery to augment inter dental papilla
  16. 16. 11-Periodontal Problems during Orthodontic Treatment www.orthofree.com O.SANDID Surgical exposure technique And Ankylosis Canine-Extraction Premolar ?
  17. 17. 12-Periodontics- Traumatic occlusion www.orthofree.com http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512012000600003 Traumatic occlusion
  18. 18. 13-Tmj dysfunctions www.orthofree.com
  19. 19. Bibliography • 1. Davies TM, Shaw WC, Worthington HV, Addy M, Dummer P, Kingdon A. The effect of orthodontic treatment on plaque and gingivitis. Am J Orthod Dentofacial Orthop 1991 Feb;99(2):155-61. • 2. Diamanti-Kipioti A, Gusberti FA, Lang NP. Clinical and microbiological effects of fixed orthodontic appliances. J Clin Periodontol 1987 Jul;14(6):326-33. • 3. Farronato G, Gualandi I, Maspero C, Esposito L. Parodontologia e ortodonzia: un felice connubio. Dental Tribune 2012. • 4. Sadowsky C, BeGole EA. Long-term effects of orthodontic treatment on periodontal health. Am J Orthod 1981 Aug;80(2):156-72. • 5. Petti S, Barbato E, Simonetti D’Arca A. Effect of orthodontic therapy with fixed and removable appliances on oral microbiota: a six-month longitudinal study. New Microbiol 1997 Jan;20(1):55-62. • 6. Lee SM, Yoo SY, Kim HS, Kim KW, Yoon YJ, Lim SH. Prevalence of putative periodontopathogens in subgingival dental plaques from gingivitis lesions in Korean orthodontic patients. J Microbiol 2005 Jun;43(3):260-5. • 7. Huser MC, Baehni PC, Lang R. Effects of orthodontic bands on microbiologic and clinical parameters. Am J Orthod Dentofacial Orthop 1990 Mar;97(3):213-8. • 8. Naranjo AA, Trivino ML, Jaramillo A, Berancourth M, Botero JE. Changes in the subgingival microbiota and periodontal parameters before and 3 months after bracket placement. Am J Orthod Dentofacial Orthop 2006 Sep;130(3):275.e17-22. • 9. Nelson-Filho P, Valdez RM, Andrucioli MC, Saraiva MC, Feres M, Sorgi CA. Gram-negative periodontal pathogens and bacterial endotoxin in metallic orthodontic brackets with or without an antimicrobial agent: an in-vivo study. Am J Orthod Dentofacial Orthop 2011 Dec;140(6):e281-7. • 10. Topaloglu-Ak A, Ertugrul F, Eden E, Ates M, Bulut H. Effect of orthodontic appliances on oral microbiota—6 month follow- up. J Clin Pediatr Dent 2011;35(4):433-6. • 11. Corbacho de Melo MM, Cardoso MG, Faber J, Sobral A. Risk factors for periodontal changes in adult patients with banded second molars during orthodontic treatment. Angle Orthod 2012 Mar;82(2):224-8.
  20. 20. Bibliography • 12. Rego RO, Oliveira CA, dos Santos-Pinto A, Jordan SF, Zambon JJ, Cirelli JA. Clinical and microbiological studies of children and adolescents receiving orthodontic treatment. Am J Dent 2010 Dec;23(6):317-23. • 13. Attin R, Thon C, Schlagenhauf U, Werner C, Wiegand A, Hannig C. Recolonization of mutans steptococci on teeth with orthodontic appliances after antimicrobial therapy. Eur J Orthod 2005 Oct;27(5):489-93. • 14. Ristic M, Vlahovic Svabic M, Sasic M, Zelic O. Effects of fixed orthodontic appliances on subgingival microflora. Int J Dent Hyg 2008 May;6(2):129-6. • 15. Hamp SE, Lundstrom F, Nyman S. Periodontal conditions in adolescents subjected to multiband orthodontic treatment with controlled oral hygiene. Eur J Orthod 1982 May;4(2):77-86. • 16. Avvantaggiato A, Zollino I, Carinci F. Impact of orthodontic treatment on crestal bone resorption in periodontally compromised patients: a case series. Acta Stomatol Croat 2010;44(3):188-94. • 17. Boyer S, Fontanel F, Danan M, Olivier M, Bouter D, Brion M. Severe periodontitis and orthodontics: evaluation of long- term results. Int Orthod 2011 Sep;9(3):259-73. • 18. Tiirkkahraman H, Sayin MO, Bozkurt FY, Yetkin Z, Kaya S, Onal S. Archwire ligation techniques, microbial colonization, and periodontal status in orthodontically treated patients. Angle Orthod 2005 Mar;75(2):231-6. • 19. Forsberg CM, Brattstrom V, Malmberg E, Nord CE. Ligature wires and elastomeric rings: two methods of ligation and their association with microbial colonization of streptococcus mutans and lactobacilli. Eur J Orthod 1991 Oct;13(5):416-20. • 20. Sukontapatipark W, el-Agroudi MA, Selliseth NJ, Thunold K, Selvig KA. Bacterial colonization associated with fixed orthodontic appliances. A scanning electron microscopy study. Eur J Orthod 2001 Oct;23(5):475-84. • 21. van Gastel JL, Quirynen M, Teughels W, Coucke W, Carels C. Influence of bracket design on microbial and periodontal parameters in vivo. J Clin Periodontol 2007 May;34(5):423-31. • 22. Haffajee AD, Socransky SS, Patel MR, Song X. Microbial complexes in supragingival plaque. Oral Microbiol Immunol 2008 Jun;23(3):196-205. • 23. Teles R, Patel M, Socransky SS, Haffajee AD. Disease progression in periodontally healthy and maintenance subjects. J Periodontol 2008 May;79(5):784-94.
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