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- Wisdom tooth
3. 1-Periodontics- Pericision-Circumferential Supracrestal Fiberotomy
www.orthofree.com
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
8. 5-Periodontics- Surgical Exposure of Impacted Tooth For
Orthodontics
www.orthofree.com
O.SANDID- O.Migault
Surgical Exposure of Impacted Tooth For Orthodontics
13. 6-Periodontics- Gummy smile
www.orthofree.com
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.
14. Periodontics-Gingival esthetics
www.orthofree.com
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
17. Periodontics-The Importance of Oral Hygiene in
Orthodontic Treatment
www.orthofree.com
idh.cdeworld.com
Tooth decay and enamal decalcification
After flossing, brush your teeth and braces thoroughly until they're clean and
shiny. ... Also, make sure to continue to see your dentist regularly every six
month
19. Median dark space caused
Figure 6 - 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
21. • the effects of a malocclusion on periodontal health
suggests that subjects with a malocclusion have worse
periodontal health than subjects without a malocclusion.
• we have no reliable evidence to recommend orthodontic
treatment to prevent periodontal disease.
• les effets d'une malocclusion sur la santé parodontale
suggère que les sujets ayant une malocclusion ont une
moins bonne santé parodontale que les sujets sans une
malocclusion .
• nous n'avons aucune preuve fiable de recommander un
traitement orthodontique pour prévenir les maladies
parodontales .
Anne-Marie Bollen, http://www.jdentaled.org/content/72/8/912.full
