Periodontal Considerations in Adult Orthodontic Patients

Abstract

The relationship between periodontology and orthodontics consists of a highly complex, bidirectional and close interaction that is nowadays characterized by controversial scientific opinions and clinical approaches. The relevant increasing number of adult orthodontic patients which in most cases present already-compromised periodontal tissues has markedly highlighted the potential of orthodontic treatment in enhancing or deteriorating periodontal health and also the outmost relevance of peculiar periodontal planning prior and during orthodontic treatment. Since the progress in adult orthodontics trend is rapid, there is also an increasing need for evidence-based protocols that might guide clinicians through a comprehensive, interdisciplinary and successful treatment. This chapter has been compiled with the aim of providing orthodontists, periodontists and general practitioners with sound evidence-based protocols and valid clinical approaches that have proven to be successful for numerous patients over long follow-ups. It is structured following the steps for a correct therapy management, starting from comprehensive examination and diagnosis to before and during orthodontic treatment considerations, and finally analysing the present state of new adult orthodontic technologies.

Is it Safe to Undergo Orthodontic Therapy in Periodontitis Patient? A Review and a Case-Report

“…Extrapolation of animal studies' findings to human conditions has been questioned, mostly because of the specific pattern of attachment loss that occurs on humans. 5 Orthodontic therapies enhance periodontal health due to their ability to create an adequate dental environment. They can also contribute, in adjunct with periodontology, to the correction of certain aesthetic and functional defects associated with periodontitis such as through reduction of intraosseous defects or furcation lesions, reduction in gingival recession, black triangles etc.…”

“…The time period for retention should surpass the time for remodelling of periodontal fibres, which usually ranges from 4 to 6 months. 5 The retainers consists of two big categories of removable and fixed ones. Removable retainers are considered best if periodontal health is considered, but poor compliance by patient may result in relapse.…”