Periodontal-Orthodontic Interrelationships

Question 1

Fixed ortho appliances lead to what?

Answer 1

Increased plaque accumulation and gingival inflammation

Question 2

What age of patient is more prone to issues related to fixed ortho appliances?

Answer 2

Adolescents more than adults

Question 3

T/F - Ortho appliance effect on gingival health is transient

Answer 3

True - removal leads to resolution

Question 4

T/F - Labial movement of teeth leads to gingival recession

Answer 4

False

Question 5

Why is etiology-related perio treatment essential prior to ortho treatment?

Answer 5

Ortho movement of teeth into inflammed pockets may create a high risk for additional perio destruction
Inflammation effects movement

Question 6

What can happen if we do ortho treatment on a patient with severe periodontitis?

Answer 6

Significant attachment and bone loss
Reduced periodontium
Pt susceptible to disease

Question 7

T/F - ortho movement on reduced but healthy periodontium can lead to further attachment loss

Answer 7

False

Question 8

T/F - The longer the ortho treatment, the more likely the patient will have bone loss

Answer 8

False

Question 9

What procedures may be performed by a periodontist to help with a patient’s ortho therapy?

Answer 9

Tooth exposure
Root coverage
Frenectomy
Periodontally-accelerated orthodontics
Implants for anchorage

Question 10

What procedures can be performed by a periodontist post-ortho treatment?

Answer 10

Fibronectomy
Frenetomy
Gingivectomy
Root coverage

Question 11

Adjunctive use of ortho therapy can be used to treat what perio problems?

Answer 11

Diastemas
Gingival margin discrepancies
Intrabony defects
Implant site development