Detrimental Effects of Orthodontic Treatment1

7/31/2019 Detrimental Effects of Orthodontic Treatment1

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DEPATRMENT OF ORTHODONTICS.

DETRIMENTAL

EFFECTS OF

ORTHODONTIC

TREATMENT

Presented by :

Abhay K Narayane (final BDS)

Guided by :

Dr. P V Hazare. HOD, Dept. Of Orthodontics

Dr. Narendra Sharma. Lect, Dept. Of Orthodontics


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CONTENTS.

INTRODUCTION.

CAUSES FOR THE DETRIMENTAL EFFECTS.

THE DETRIMENTAL EFFECTS ON TISSUE.

ITS INCREASED PREDESPOSITION TO DENTALDISEASE OR DYSFUNCTION.

CONCLUSION.


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INTRODUCTION.

Orthodontic treatment is mostly concerned with providing

esthetic look to a person and influencing his confidence in society

indirectly, but it also has some detrimental effects on the tissues of

oral cavity and facial look of some individuals.

As in Medicines, it is said that coin has two sides one may be

good another may be bad.

Drugs also shows some side effects along with their healing power.


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CAUSES FOR THE DETRIMENTAL EFFECTS.

1. On the part of the operator. Incorrect diagnosis. Incorrect treatment plan. Use of excessive forces on the tooth. Inadequate skill / Improper appliance Lack of patient education to maintain his oral

hygiene.

2. On the part of the patient. Lack of maintenance of oral hygiene. Not wearing the appliance for adequate time. Damage to the parts of appliance by self

manipulating.

Not reporting regularly to the dentist (Orthodontist)as per his recall appointments.


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THE DETRIMENTAL EFFECTS ON TISSUE ARE AS

FOLLOWS.

1.Traumatic ulcer.

2.Periodontal disease.

3.Caries.

4.Root resorption.

5.Pulpal damage.


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1.TRAUMATIC ULCER. Pain and abrasions are most common complaints. This tissue trauma is due to sharp ends or any tissue

irritating metal which tends to injury and ulcer formation

due to break in continuity of the epithelium.

Mostly seen with fixed appliance.Eg: Beggs appliance

Treatment/ Preventive measure: Relief silicone can be placed on the tissue to protect it from

sharp end of the orthodontic appliance used.


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2.PERIODONTAL DISEASE. Generlized mild to moderate gingivitis occurs within 6

months of placement of fixed orthodontic aplliance.

It may persist till the appliance is removed. It may exacerbate if patients compliance is not good

Sometimes hyperplastic response is seen which can beflorid and demands removal of orthodontic appliance.

Loss of attachment 0.51.5mm can be noted in 510% ofpatients with poor oral hygiene.

Generalized gingivitis

Treatment :o Such incidence can be minimized by having proper

patients compliance.

o Consult to periodontist may be adviced.


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3.CARIES. Generally seen around brackets following debonding.

o This is due hypocalcification of enamel as foodaccumulates around the bracket.

Incidence of caries may also be seen in the cases of proximalstripping, due to lack of finishing of the stripped areas.

Preventive measure:o The way to control or limit caries is by maintenance

of proper oral hygiene.


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4.ROOT RESORPTION. Usually occurs during orthodontic procedure, generally small

in amount, irreversible and difficult to predict.

Caused due to excessive use of force. When roots are moved beyond cancellous bone. It is seen more in tooth that has undergone Root canal

treatment and suffered previous trauma.

5.PULPAL DAMAGE. Seen with application of excessive force by:

Overzealous wearing of elastics or inexpert handling oforthodontic appliance.

Removable appliance may also cause pulpal damage.Eg : Labial bow i.e excessively activated.


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INCREASED PREDESPOSITION TO DENTAL DISEASEOR DYSFUNCTION.

1.PERIODONTAL DISESASE. Extraction spaces open up. Excessive overbite created causing Trauma from

occlusion.

More frequently seen with removable appliances.


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2.MANDIBULAR DYSFUNCTION. No relation generally found between Temperomandibular

joint dysfunction and orthodontic appliance used, but still

orthodontic treatment is blamed for Temperomandibularjoint dysfunction.

TO NOTE:o Care must be taken to rule out any

Temperomandibular joint problems in adults before

starting Orthodontic treatment.

3.FAILED TREATMENT. It may be complete or partial due to:

o Underestimation of skeletal discrepancy.o Misjudgement of space required.o Misjudgement of anchorage requirements.o Incorrect choice of appliance.o Faulty technique.o Poor oral hygiene.


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CONCLUSION.

Orthodontics is an aid in improving oral and facial

esthetics, but its detrimental effects which are transient or

permanent can be reduced by the efforts of Operator as well

as by the patient by following the basic principles in

Orthodontics and different disciplines in Dentistry.

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Detrimental Effects of Orthodontic Treatment1