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1. 134-Periodontics- Orthodontic interrelationships
interdisciplinary
approach Periodontal Surgery for
the Orthodontic Patient
Awatef SHAAR (BAU-LB), Orthodontist.
Mohamad ABOULNASER- Orthodontist, BAU, Connecticut, USA.
Oussama SANDID- Orthodontist, D.C.D., D.U.O, C.E.S.B.B, C.E.S.O.D.F ,
S.Q.O.D.F, Paris. France.
Contact: dr.aboualnaser@hotmail.com
www.orthofree.com

2. 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- Wisdomtooth
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

3. 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
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

4. http://www.omahaperio.com/services/frenectomy.aspx
2-Periodontics- Frenectomy
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

5. 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.
2-Periodontal Surgery for the Orthodontic Patient
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

6. Gingivae a. before and b. after crossbite correction.
http://www.aso.org.au/members/NSW%20Brighter%20Futures/Brighter_Futures_002.pdf
3-Periodontics- Mucogingival considerations
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

7. http://www.aso.org.au/members/NSW%20Brighter%20Futures/Brighter_Futures_002.pdf
4-Periodontics-Gingival recesion -Gingival Grafting
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

8. http://www.mrzperio.com/
Gingival recesion - GingivalGrafting
4-Periodontal Surgery for the Orthodontic Patient
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

9. 4-Periodontics-Gingival recesion -Gingival Grafting
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

10. 5-Periodontics- Surgical Exposure of Impacted Tooth For
Orthodontics
O.SANDID-O.Migault
Surgical Exposure of Impacted Tooth For Orthodontics
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

11. 5-Periodontics- Surgical Exposure of Impacted Tooth For
Orthodontics
Surgical Exposure of Impacted Tooth For Orthodontics
http://www.mrzperio.com/
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

12. Dr O.SANDID
6-Extraction supernumerary teeth- mesiodens
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

13. Pericoronitis
Impacted Wisdom teeth
www.orthofree.com
7-Periodontics- Impacted Wisdom teeth
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

14. www.orthofree.com
7-Wisdom tooth extraction-Bone Loss Distal to the 2nd Molar
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

15. Repositioning - impaction lower second molar
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

16. 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
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

17. http://www.gummysmile.com/
Gummy smile
Interdisciplinary approach to improve smile esthetics
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

18. Gingivectomy to reduce bulk of excess gum
tissue
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

19. A, B) Smile esthetics affected by disharmonious gingival contours although anterior teeth lookwell
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 biologicaldistances.
Máyra Reis Seixas1, Roberto Amarante Costa-Pinto2, Telma Martins de Araújo3, Dental Press J Orthod. 2012 Sept-Oct;17(5):190-201
Periodontics-Gingival esthetics
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

20. 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
7-Periodontics- Mini-implant
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

21. http://parkell.cdeworld.com/
Corticotomy facilitated orthodontics
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

22. http://www.oralhealthgroup.com/news/treating-the-dreaded-black-triangle/1002990029/?&er=NA
www.orthofree.com
Periodontics- Black triangle
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

23. 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. 2012Sept-Oct;17(5):190-201
Median dark space caused
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

24. Combined endodontic-orthodontic and prosthodontic
treatment of fractured teeth
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

25. Periodontics Tmj dysfunctions
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

26. Supracrestal FiberotomyFrenectomy Gingival Grafting
Surgical Exposure Extraction supernumerary teeth Wisdom tooth
Mini-implant Gummy smile Repositioning - impaction
MOHAMAD ABOUALNASER-OUSSAMA SANDID
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

27. Periodontal Surgery for the
Orthodontic Patient O.SANDID