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261-perio-ortho-Periodontal Problems during Orthodontic Treatment.pdf
- 1. 261- Periodontal Problems during Orthodontic Treatment Olivier Oussama SANDID Orthodontist - France
- 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 recesion • 7-Effects of Reduced Perio Support • 8-Traumatic occlusion
- 3. Periodontal Problems during Orthodontic Treatment www.orthofree.com Gingival hyperplasia developed after 1-2 months of orthodontic appliance being placed Gingival hyperplasia DR.JEBIN www.orthofree.com
- 4. Periodontal Problems during Orthodontic Treatment 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 Elastometric rings www.orthofree.com
- 5. Periodontal Problems during Orthodontic Treatment www.orthofree.com 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 Specific iUlicrobioiogy around Ortiiodontic Bands
- 6. Periodontal Problems during Orthodontic Treatment www.orthofree.com DR.JEBIN Optimal Band and buccal tube placement Commun Banding error results in height and torque errors Band too far gingival creates molar tip and marginal ridge discrepancy www.orthofree.com
- 7. 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
- 8. Periodontal Problems during Orthodontic Treatment- Black triangle www.orthofree.com http://www.oralhealthgroup.com/news/treating-the-dreaded-black- triangle/1002990029/?&er=NA
- 9. Periodontal Problems during Orthodontic Treatment -Root resorption
- 10. 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 Tension side Pressure side
- 11. Periodontal Problems during Orthodontic Treatment - periodontal pocket- extraction site www.orthofree.com Dr Elhachawi).
- 12. Periodontal Problems during Orthodontic Treatment -Gingival hypertrophy www.orthofree.com
- 13. 1i-Periodontics-Deep bite- Gingival recesion www.orthofree.com
- 15. 1M-Periodontics- Traumatic occlusion www.orthofree.com http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512012000600003 Many clinicians believe Traumatic occlusion causes Intrabony Periodontal defects but this is not so. This defect is caused by dental plaque with accentuation due to the open contact region and poor subgingival margin of Restoration. First molar has traumatic occlusion causing the bone loss in the furca. Clinically there is no pocket depth nor Periodontitis in the furcation and so the diagnosis is Traumatic Occlusion and the treatment is occlusal adjustment to reduce occlusal loading.
- 16. Surgical exposure technique And Akylosis Canine www.orthofree.com O.SANDID