#Olivier_oussama sandid- #oussama_sandid- #Olivier_sandid #orthodontiste_france #orthodontist_ksa #Orthodontist_usa - #orthodontists_Lebanon #Beirut_arab_ university # dentistry_dentistrie #dentist_dentist #orthodontiste_france #orthodontist_orthodontiste #orthodontiste-world #universite_libanaise- mohamad abou el naser-dentists #lebanon _lebanese_university #Dentiste_liban #orthodontist_ksa #Orthodontist_usa - #pediatricien_lebanon #pediatre_lebanon #medecin _Lebanon #medecins_liban #doctors_Lebanon #docteur_liban #usj #universite-saint_joseph- beyrouth #AUB #Americaine_university_of _beirut صنديد اسامة

1. 262-Benefits of orthodontics for a
periodontal patient
Olivier Oussama SANDID
Orthodontist – France

2. Plan
A-Benefits of orthodontics for a periodontal patient-
-Gingival recession
-Implant site preparation
B-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
C-Periodontal Problems during Orthodontic Treatment

3. Introduction
• Orthodontic treatment aims at providing an acceptable functional and aesthetic occlusion with appropriate
tooth movements. These movements are strongly related to interactions of teeth with their supportive
periodontal tissues.
• Aesthetic considerations, like uneven gingival margins or functional problems resulting from inflammatory
periodontal diseases should be considered in orthodontic treatment planning.
• The interrelationship between periodontics and orthodontics .
• Specific areas reviewed are how periodontal tissue reacts to orthodontic forces, influence of tooth movement on
the periodontium,
• effect of circumferential supracrestal fiberotomy in preventing orthodontic relapse,
• effect of orthodontic bands on the periodontium,
• specific microbiology associated with orthodontic bands,
• mucogingival considerations and time relationship between orthodontic and periodontal therapy In addition,
• the relationship between orthodontics and implant restorations (e.g., using dental implants as orthodontic
anchorage).
• the contribution of the orthodontist, the periodontist and the general dentist is essential for optimized treatment
outcomes.
Marianne M.A. Ong,Hom-Lay Wang, Periodontic and orthodontic treatment in adults, American Journal of Orthodontics and
Dentofacial Orthopedics, Volume 122, Issue 4, Pages 420–428, October 2002

4. Benefits of orthodontics for a periodontal patient
- periodontics
www.orthofree
Máyra Reis Seixas1, Roberto Amarante Costa-Pinto, Telma Martins de Araújo, Dental Press J Orthod. 2012 Sept-Oct;17(5):190-201
Gingival recession and buccal positioning of tooth #32’s root (A, B);
Reduced recession after orthodontically moving root to correct position in alveolar bone (C, D).
www.orthofreee

5. Benefits of orthodontics for a periodontal
patient- periodontics
www.orthofree.com
idh.cdeworld.com
Teeth alignment improve bone loss and loss of gum tissue

6. Benefits of orthodontics for a periodontal patient
-Implant site preparation
www.orthofree.com
Yvon Roberge, Sylvain Gagnon, Orthod Fr 2008;79:55–57
Implant site preparation : Open Space, Root proximity, Bone quality, implant types…

7. Benefits of orthodontics for a periodontal patient
- Create quality bone for implant placement
www.orthofree.com
Create quality bone for implant placement, Forced Eruption
improving the amount of bone available for implant placement.
Dr Jebin

8. Benefits of orthodontics for a periodontal patient
-implant site preparation
www.orthofree.com
Move the roots from implant site, To create space priorimplant placement, the
roots of the adjacent teeth should be upright and parallel
www.orthofree.com

9. Benefits of orthodontics for a periodontal patient
-implant site preparation
www.orthofree.com
Create bone for implant placement,
Repositioning teeth

10. Benefits of orthodontics for a periodontal patient
-implant site preparation
www.orthofree.com
http://www.orthodontisteenligne.com/wp-content/uploads/2009/05/Redressement-molaires-orthodontie-implants-2-083009-Lemay.jpg

11. Combined endodontic-orthodontic and prosthodontic
treatment of fractured teeth

12. Orthodontic Treatment in Periodontally Compromised
Patients
www.orthofree.com
Patient with advanced periodontitis and migration of the maxillary left central incisor,
Clinical view after the end of the orthodontic treatment the teeth are retained by means of a resin-bonded splints
Biomechanics used to intrude and move the central incisor into the defect
Stefanis Re, Giuseppe Corrente IJP and DR

13. Orthodontic Treatment in Periodontally Compromised
Patients
www.orthofree.com
Radiographic view of the osseoous defect ,
Radiographic wiew at the end of the treatment with reduction of the defect
Stefanis Re, Giuseppe CorrenteIJP and DR

14. Orthodontic Treatment in Periodontally Compromised
Patients
www.orthofree.com
Stefanis Re, Giuseppe CorrenteIJP and DR