periodontal problems during orthodontic treatment - mohamad aboualnaser - oussama sandid-2009

Periodontal Problems during Orthodontic Treatment

DR MOHAMAD ABOUALNASER- Orthodontiste- BUA- USA DR OUSSAMA SANDID – Orthodontist- France

2009

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 ?

1-Periodontal Problems during Orthodontic Treatment

Gingival hyperplasia developed after 1-2 months of orthodontic appliance being placed

Gingival hyperplasia

DR.JEBIN

www.orthofree.com

Solution: Oral health and gingivectomy

MOHAMAD ABOUALNASER-OUSSAMA SANDID

2-Periodontal Problems during Orthodontic Treatment -Gingival hypertrophy

Gingival hypertrophy



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 more plaque

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



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


4-Periodontal Problems during Orthodontic Treatment- Black triangle

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

http://www.oralhealthgroup.com/news/treating-the-dreaded-black-triangle/1002990029/?&er=NA


5-Periodontal Problems during Orthodontic Treatment -Root resorption


Root proximity

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

Dr Jebin


6-Periodontal Surgery for the Orthodontic Patient

http://www.mrzperio.com/

Gingival recesion - Gingival Grafting


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

Tension side Pressure side


8-Periodontal Problems during Orthodontic Treatment - periodontal pocket- extraction site

Dr Elhachawi

Periodontal pocket- extraction site


9-Periodontics- Traumatic occlusion

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512012000600003

Traumatic occlusion



O.SANDID

Surgical exposure technique And Ankylosis Canine-Extraction Premolar ?


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..


https://www.google.com.lb/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&docid=IsFq1tdhK6G11M&tbnid=RaGJx5hiMyRmIM:&ved=0CAQQjB0&url=http://idh.cdeworld.com/courses/4673-Collaborations_on_the_Dental_Team_to_Ensure_Orthodontic_Success&ei=3OR5U_n9OYTDO_-rgdgD&bvm=bv.66917471,d.bGQ&psig=AFQjCNFLqj--SbpaeQwK3g89JtmeszF2Ag&ust=1400583757787248

periodontal problems during orthodontic treatment - mohamad aboualnaser - oussama sandid-2009

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