This document discusses potential risks and complications of orthodontic treatment. It begins by outlining the main objectives, which are to identify risks, complications, allergic reactions, and infective endocarditis related to orthodontics. It then covers various topics in more depth, including dental complications, periodontal issues, soft tissue alterations, temporomandibular disorders, speech problems, allergic reactions, and risk management strategies. Specific risks addressed include enamel damage, decay, color alterations, wear, root resorption, gingivitis, recession, and ulcerations. The document emphasizes the importance of oral hygiene and monitoring during treatment to prevent issues.

1. Potential risks &
complication in
orthdonics
Internship - ACU,
Orthodontic dep.
Nov.2020

2. At the end of this lecture you will be able to :
1. Identify the risks accompanied with orthodontic treatment
2. The main complications as results of orthodontic treatment;
● Main dental complications
● Periodontal complications
● Soft tissue alterations
● TMDs
● Speech problems
4. orthodontic treatment and it’s relation a part of conceptual framework
5. Allergic reactions
6. Infective endocarditis
7. Risks management within orthodontic treatment
ILOS

3. Contents
Orthodontic treatment
as part of conceptual
framework
Risks & Main
complications
introduction
Allergic reaction
03
02 04
05
06
Infective
endocarditis
Risks management
01

4. Orthodontic treatment of
malocclusions and
craniofacial abnormalities
Like any other medical
intervention, it associated
risks and complications.
Introduction

6.  Patient features
 Orthodontists related
factors
 Doctor-patient
relationship
General therapeutic
context
Specific therapeutic
context
Risks occurring orthodontic treatment
 Orthodontic appliances
placements and their
mechanism of actions
 Relation of orthodontic
appliances to oral
structure
 Material properties
 Technical features of
orthodontic appliances

7. • Age
• gender
• Environment
• Physio pathological status
• Genetic predisposition
• Psychological type
• Particularities related to malocclusion (type, etiology, severity)
• craniofacial features.

8. Orthodontic intervention
Usually complications in which occur from;
• Errors of diagnosis,
• Treatment planning
• Treatment management.

9. Doctor-patient relationship
 orthodontic treatment begins the physician, patient
and person with the legal authority for minors
become a team with a common goal “ insuring the
health status for identified problems .
 Communication is a key element in achieving quality
results.

10. What shall we do as
orthodontist?
It is recommended the clear
presentation of the medical
information to the patient, in a clear
language, avoiding the usage of
specialized terminology.
(Teodora et al., 2012)

11.  Patient features
 Orthodontists related
factors
 Doctor-patient
relationship
General therapeutic
context
Specific therapeutic
context
Risks occurring orthodontic treatment
 Orthodontic appliances
placements and their
mechanism of actions
 Relation of orthodontic
appliances to oral
structure
 Material properties
 Technical features of
orthodontic appliances

12. Orthodontic devices
come into contact with the oral tissues and fluids,
temperature fluctuations, mechanical loading during
mastication and devices activation, physical or chemical
interactions.
 lower nickel content, with a good resistance to
corrosion and, in order to avoid corrosion of titanium
based components, to limit the use of high
concentration fluor-based products.
Specific therapeutic context

13. Orthodontic appliances and materials must have special standards.
Specific therapeutic context

16. Related to the bonding and debonding technique
I. Enamel damage
Self-etch adhesives / RMGI

17.  promoting plaque accumulation
and inhibiting oral hygiene
 White spot lesions
II. Carious activity

18.  Primary prevention
 Secondary prevention
How to prevent teeth from
decay during orthodontic
treatment?

19.  Spontaneous remineralization
 fluor or casein phosphopeptide based products
 Chew sugar-free gums.
 Microabrasion may be used.
Treatment approaches for
white spot lesions;

20.  Technique of treatment. (fixed vs
removable app. )
 Irreversible changes within enamel
surface morphology
 Adhesive resins usage
 Food dyes
 UV light.
 Corrosion products
 Force to induce pulp vascularization
abnormalities.
III. Color alteration

21. Secondary to the contact between teeth and brackets or tubes.
It’s also a higher sever form in patients with ceramic brackets,
severity ranging from 9 to 38 times higher compared to the metallic
one.
IV. Dental wear

22. V. External apical root
resorption
Patient
characteristic Orthodontic
technique

23. Maxillary teeth are more prone
to develop root resorption
compared to the mandibular
ones, and frontal teeth more
prone than lateral ones.
V. External apical root
resorption

25. Importance
of maintaining a good oral hygiene, to
monitories the periodontal status
(at least every 3 months to do an
examination and dental cleaning)
In forms of
• gingivitis
• Periodontitis
• Dehiscence
• Fenestrations
• gingival recession
• Overgrowth
• black triangles

27. Erosions and ulcerations on the buccal, labial,
lingual or gingival mucosa.
Pain and discomfort are associated
using orthodontic wax

28. Improper hygiene of the removable orthodontic
appliances is sometimes associated with stomatitis
appearance, which may sometimes be over
infected with Candida Albicans.
Headgear appliance was linked to facial and
intraoral trauma.

30. premature occlusal contacts present
during therapy, there is a greater risk
for this complication to appear Before
starting orthodontic treatment.
 every patient must be examined in
order to detect previous
temporomandibular disorders and
identify high risk patients

32. Impeding the articulation
of sounds or indirectly by
affecting the physical and
mental health of a person.

33. Risk of orthodontic
treatment as a conceptual
framework.

35. Types I and IV
Hypersensitivity reactions
small rash on skin or
mucosa, to generalized
dermatitis
Nickel Latex

36. Nickel allergy – Mucosa Latex allergy – Tounge

38. The American Heart
Association

39. proactive management
items
(measures for avoiding
and preventing the risk)
Management

42. CREDITS: This presentation template was
created by Slidesgo, including icons by Flaticon,
and infographics & images by Freepik
Thanks
Stay safe!

43. Our Team
Dr. Kholoud
Khaled
Dr. Mostafa saber
Dr. Mohammed
Abo-Al Naga
intern intern intern

44. References
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