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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
MOHAMAD ABOUALNASER-OUSSAMA SANDID
2-Periodontal Problems during Orthodontic Treatment
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
MOHAMAD ABOUALNASER-OUSSAMA SANDID
3-Periodontal Problems during Orthodontic Treatment
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
MOHAMAD ABOUALNASER-OUSSAMA SANDID
3-Periodontal Problems during Orthodontic Treatment
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
MOHAMAD ABOUALNASER-OUSSAMA SANDID
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
MOHAMAD ABOUALNASER-OUSSAMA SANDID
4-Periodontal Problems during Orthodontic Treatment- Black triangle
http://www.oralhealthgroup.com/news/treating-the-dreaded-black-triangle/1002990029/?&er=NA
MOHAMAD ABOUALNASER-OUSSAMA SANDID
5-Periodontal Problems during Orthodontic Treatment -Root resorption
MOHAMAD ABOUALNASER-OUSSAMA SANDID
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
MOHAMAD ABOUALNASER-OUSSAMA SANDID
6-Periodontal Surgery for the Orthodontic Patient
http://www.mrzperio.com/
Gingival recesion - Gingival Grafting
MOHAMAD ABOUALNASER-OUSSAMA SANDID
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
MOHAMAD ABOUALNASER-OUSSAMA SANDID
8-Periodontal Problems during Orthodontic Treatment - periodontal pocket- extraction site
Dr Elhachawi
Periodontal pocket- extraction site
MOHAMAD ABOUALNASER-OUSSAMA SANDID
9-Periodontics- Traumatic occlusion
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512012000600003
Traumatic occlusion
MOHAMAD ABOUALNASER-OUSSAMA SANDID
10-Periodontal Problems during Orthodontic Treatment
O.SANDID
Surgical exposure technique And Ankylosis Canine-Extraction Premolar ?
MOHAMAD ABOUALNASER-OUSSAMA SANDID
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..
MOHAMAD ABOUALNASER-OUSSAMA SANDID
MOHAMAD ABOUALNASER-OUSSAMA SANDID