PERIODONTOLOGY AND ORTHODONTICS – AN INTERFACE Flashcards
perio and ortho in children
If gingivitus develops in repsonce to Otho appliances almost never extends into periodontitis
perio and ortho tx prior to commencement
before otho treatment OH course is ideal
hygiene aids are often needed , take more care to clean teeth
where are the difficult areas to clean during ortho tx
M and D area of each tooth between brackets
gingival margin below the bracket
special aids for cleaning during ortho tx
interproximal brish
standard interspace brish
powered rotary brish
superfl0ss
ortho tx for pts undergoing perio tx
no contraindication for those who have perio disease as long as disease brought under control before and during ortho tx
most common ortho problems found in perio compromised pts include
proclination of mx anterior teeth irregular interdental spacing rotation of teeth overeruption migration/loss of teeth traumatic occlusion
need to control inflammation
if disease not under control a combo of inflammation ortho forces and trauma produce a more rapid destruction that would occur with inflammation alone
how to identify active perio disease
persistent bleeding on probing
groups at risk of PD/ortho infklammation
those with min disease and no progression despite gingival inflmamtion
those with moderate progression
those with rapid progression
reducing microorganism during perio tx
molar bonding over molar bands for cleaning
elastomeric rings may have higher levels of microorgansism
summary of Orto and pd tx
patient with perio and driving can be treted
disease must be undercontrl and maintained through tx
beware areas of unexpected bone loss
how to minimise recession for these ots
teeth should stay in the arch
recession
arch expansion can lead to recession
root needs to be tipped into line of arch
labial movement of incisors puts supporting tissues at risk
