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1. 135-Periodontal Problems during Orthodontic
Treatment
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 Problems during Orthodontic Treatment
• 1-Gingival hyperplasia
• 2-Elastometric rings more plaque
• 3-Orthodontic bands that extend subgingivally
• 4-Black triangle
• 5-Root proximity, root resorption.
• 6-Gingival recession
• 7-Effects of Reduced Perio Support
• 8-Periodontal pocket- extraction site
• 9-Traumatic occlusion
• 10-Surgical exposure technique And Ankylosis Canine-
Extraction Premolar ?
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

3. Gingival hyperplasia developed after 1-2 months of orthodontic appliance being
placed
Gingival hyperplasia
DR.JEBIN
www.orthofree.com
Solution: Oral health and gingivectomy
1-Periodontal Problems during Orthodontic Treatment
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

4. Gingival hypertrophy
2-Periodontal Problems during Orthodontic
Treatment -Gingival hypertrophy
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

5. 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 metalties
Elastometric rings more plaque
www.orthofree.com
2-Periodontal Problems during Orthodontic Treatment
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

6. 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
Orthodontic bands
www.orthofree.com
3-Periodontal Problems during Orthodontic Treatment
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

7. DR.JEBIN
www.orthofree.com
Optimal Band and buccal tube placement
Commun Banding error results in height and torqueerrors
Band too far gingival creates molar tip and marginal ridge discrepancy
3-Periodontal Problems during Orthodontic Treatment
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

8. DR.JEBIN
Black triangle
Interproximal stripping and close space, Converge root angulations, Mucogingival
surgery to augment inter dental papilla
4-Periodontal Problems during Orthodontic
Treatment- Black triangle
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

9. http://www.oralhealthgroup.com/news/treating-the-dreaded-black-
triangle/1002990029/?&er=NA
4-Periodontal Problems during Orthodontic Treatment- Black triangle
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

10. 5-Periodontal Problems during Orthodontic
Treatment -Root resorption
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

11. Move the roots from implant site, Tocreate space priorimplant placement, the
roots of the adjacent teeth should be upright and parallel
www.orthofree.com
Dr Jebin
Root proximity
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

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

13. 7-The impact of orthodontic treatment on
periodontal support loss
Bone surrounding a tooth subjected to a force (Reitan 1985, Proffit 1993a)
Resorption occurs where there is pressure
New bone forms where there is tension
TensionsidePressure side
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

14. Dr Elhachawi
Periodontal pocket- extraction site
8-Periodontal Problems during Orthodontic Treatment -
periodontal pocket- extraction site
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

15. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512012000600003
Traumatic occlusion
9-Periodontics- Traumatic occlusion
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

16. O.SANDID
Surgical exposure technique And Ankylosis Canine-Extraction Premolar?
10-Periodontal Problems during Orthodontic Treatment
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

17. 1-Periodontics-The Importance of Oral Hygiene in
Orthodontic Treatment
idh.cdeworld.com
Prevention of periodontal breakdown during orthodontic treatment, Patient education,
motivation, enhanced oral hygiene maintenance and regular periodontal care are
essential during orthodontic treatment. Gum disease, Tooth decay and enamal
decalcification..
Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR

18. Oussama SANDID- Mohamad ABOUALNASER- AwatefSHAAR