Periodontology and Orthodontics Flashcards
Prevalence of periodontal disease - pockets of 5mm or more
Increases with age
Patients wearing FAs find most difficult to clean
Mesial and distal area of each tooth and gingival margin above brackets
Orthodontics for perio patients
No contraindications
Must be controlled before orthodontics commences
Most common ortho problems found in periodontally compromised patients
Anterior maxillary proclination Irregular spacing Rotation Overeruption Migration/loss Traumatic occlusion
3 groups at risk
Rapid progression
Moderate progression
Minimal disease and no progression despite inflamed gingivae
Disease control
Response
What happens if disease not controlled?
Orthodontic forces and occlusal trauma produce more rapid destruction than with inflammation alone
Active disease identified by?
Persistent bleeding on probing
Chronic periodontitis - localised and generalised
< 30% of sites affected
> 30% sites affected
Aggressive periodontitis
Localised and generalised
Systemic disease associated periodontitis
AIDS
Diabetes
Necrotising forms of periodontitis
ANUG
ANUP
Protocol for minimal periodontal involvement
Structured DH+T course
Protocol for moderate periodontal involvement disease control
Period of observation following initial treatment to allow complete healing
Removal of calculus
RSD
Osseous surgery can be performed before or after orthodontic tx
Moderate perio involvement - maintenance therapy
Increased frequency of cleaning and scaling depending on severity of disease
2-4 months therapy
