An update on periodontic-orthodontic interrelationships
Journal name: Journal of Indian Society of Periodontology
Original article title: An update on periodontic-orthodontic interrelationships
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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Aous Dannan
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: An update on periodontic-orthodontic interrelationships
Year: 2010 | Doi: 10.4103/0972-124X.65445
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
The interrelationship between periodontics and orthodontics has gained attention since the 1960s, particularly concerning how orthodontic treatment can impact periodontal health. Orthodontic procedures are aimed not just at improving dental aesthetics but also at addressing functional issues and preventing pathological tooth migration that may arise from periodontal diseases. However, while it has been suggested that orthodontic treatment could positively influence periodontal health, recent studies provide conflicting evidence regarding its effects, necessitating a closer examination of both historical and current perspectives on this topic.
The Dual Nature of Orthodontic Treatment: A Two-Edged Sword
Orthodontic treatment can potentially protect against periodontal breakdown by correcting improper tooth alignment that can exacerbate periodontal issues. Research indicates that effective orthodontic interventions may improve the overall health of the periodontium, as aligning crowded teeth reduces harmful occlusal interferences and decreases the presence of periodontal pathogens. Nonetheless, orthodontic procedures also carry significant risks, particularly for patients with compromised periodontal health or inadequate oral hygiene. Adverse effects such as gingival inflammation, periodontal pocket formation, and root resorption can occur, underscoring the necessity for careful management and plaque control during treatment. This dual nature highlights the complexity of orthodontic interventions and their lasting implications on periodontal health.
Conclusion
The dialogue surrounding periodontic-orthodontic interrelationships remains contentious, with ongoing research highlighting both the potential benefits and risks associated with orthodontic treatment. While some studies suggest orthodontic therapy can enhance periodontal health under optimal conditions, overall evidence does not consistently support claims of significant improvement. The establishment of strong communication between periodontists and orthodontists is essential in addressing these complexities and ensuring the best treatment outcomes for patients. As research continues to evolve, a better understanding of these interrelationships can be developed, ultimately leading to improved care practices in dental health.
FAQ section (important questions/answers):
What is the relationship between orthodontic treatment and periodontal health?
While past studies suggested orthodontic treatment may improve periodontal health, recent evidence indicates no reliable support for these claims. The interrelationship remains controversial and more research is needed to fully understand the effects of orthodontic procedures on periodontal health.
How can orthodontic treatment protect against periodontal breakdown?
Orthodontic treatment can correct tooth misalignments, reducing harmful occlusal interference, which may otherwise contribute to periodontal breakdown. Aligned teeth tend to harbor fewer periodontal pathogens compared to crowded teeth, thereby potentially influencing overall periodontal health positively.
What are the short-term effects of orthodontic treatment on the periodontium?
Short-term effects often include gingival enlargement and increased probing depths due to mechanical irritation from appliances. However, with proper plaque control, these effects may be minimized, preventing significant periodontal complications during treatment.
What are mucogingival considerations related to orthodontic treatment?
A sufficient amount of attached gingiva is crucial for periodontal health during orthodontic treatment. If inflammation or poor hygiene exists, tooth movement can increase the risk of gingival recession and other complications.
What do recent studies suggest about orthodontic treatment and periodontal pathogens?
Recent studies show that while certain periodontal pathogens may rise during fixed appliance treatment, levels often return to baseline after 12 months, indicating that orthodontic treatment may not significantly increase the risk of periodontal pathogens in the long term.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “An update on periodontic-orthodontic interrelationships”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Study (Studying):
Study refers to the systematic investigation of a specific topic or subject area, often involving research conducted to generate new knowledge or insights. In the context of orthodontic and periodontal interrelationships, studies are essential for understanding the effects of various treatments, forces, and practices on oral health outcomes over time.
2) Hygiene (Hygienic):
Hygiene encompasses the practices and conditions that maintain health and prevent disease, particularly in relation to oral health. The concept is crucial in orthodontics, as good oral hygiene is emphasized to prevent periodontal complications during treatment. Maintaining hygiene helps minimize plaque accumulation and inflammation in periodontal tissues.
3) Disease:
Disease in this context refers to any pathological condition that affects the teeth and gums, particularly periodontal disease, which may arise due to improper oral hygiene. Understanding disease mechanisms is vital in assessing the impact of orthodontic treatments on periodontal health and identifying potential risks associated with tooth movement.
4) Inflammation:
Inflammation is the body’s response to infection or injury, characterized by redness, swelling, and pain. In periodontal therapy, inflammation plays a pivotal role, as it can arise from plaque accumulation during orthodontic treatment. Monitoring inflammation is crucial to ensure periodontal health and prevent complications related to tooth movement.
5) Reason:
Reason pertains to the rationale behind clinical decisions and treatments in dentistry. In the context of orthodontics and periodontics, understanding the reasons for specific treatment recommendations helps clinicians make informed choices ensuring that orthodontic procedures will positively affect periodontal health or address existing issues effectively.
6) Animal:
Animal studies play a significant role in dental research by allowing scientists to examine the physiological and biological responses of periodontal tissues to orthodontic forces. Insights gained from animal studies contribute to understanding potential risks and outcomes in human subjects, guiding treatment protocols to minimize complications.
7) Irritation:
Irritation generally refers to a localized inflammatory response caused by mechanical forces, such as those from orthodontic appliances. In the dental context, irritation can lead to gingival enlargement or periodontal problems, making it important for practitioners to manage and mitigate the effects of appliances on the surrounding tissues.
8) Language:
Language in this context refers to the communication standards and terminologies used among dental professionals, especially between periodontists and orthodontists. Establishing a common language is essential for effective collaboration, aiding in treatment planning, understanding patient conditions, and ultimately improving treatment outcomes across disciplines.
9) Field:
Field refers to a specialized area of study or practice, in this case, dentistry with subfields including periodontics and orthodontics. Advancements in the field enhance our understanding of how orthodontic treatments interact with periodontal health, necessitating ongoing research to refine practices and address clinical challenges.
10) Post:
Post typically refers to the period following a particular event or treatment, such as post-orthodontic care. This period is critical for monitoring the effects of orthodontic treatment on periodontal health, assessing dental stability, and addressing any complications that may arise after active treatment concludes.
11) Pur (Pūr):
Poor denotes a lack of quality or adequacy, particularly concerning oral hygiene or periodontal health. In orthodontic treatment, poor oral hygiene often correlates with increased risks of gingival inflammation and periodontal disease, highlighting the importance of patient education and adherence to hygiene practices during and after treatment.
12) Accumulation (Accumulating, Accumulate):
Accumulation refers to the buildup of substances, such as plaque, within the oral cavity. During orthodontic treatment, the accumulation of plaque on teeth and appliances can lead to periodontal inflammation and complicate overall dental health, emphasizing the necessity of effective oral hygiene measures to control plaque levels.
13) Surrounding:
Surrounding refers to the tissues and structures adjacent to the teeth, particularly periodontal tissues during orthodontic movement. Understanding the surrounding environment is crucial as changes in these tissues can significantly impact treatment outcomes and the overall health of the periodontium during and after orthodontic procedures.
14) Inference:
Inference involves drawing conclusions based on evidence or reasoning. In dental studies, making inferences about the relationship between orthodontic treatments and periodontal health is critical, as it helps clinicians understand potential outcomes, risks, and benefits, leading to better-informed treatment decisions for patients.
15) Quality:
Quality refers to the standard of care and outcomes achieved in orthodontic and periodontal practices. Ensuring the quality of treatment protocols and patient education is essential for minimizing risks, maintaining oral health, and achieving successful outcomes in orthodontic therapy while safeguarding periodontal integrity.
16) Surface:
Surface pertains to the outer layer of the teeth and gums, which can be affected by orthodontic treatment. The surface health of teeth is critical, as it influences plaque retention, oral hygiene effectiveness, and overall periodontal status, necessitating thorough cleaning and maintenance for optimal outcomes.
17) Blood:
Blood is essential for the healing and nourishment of periodontal tissues. In orthodontic treatment, blood supply plays a key role in tissue response to forces applied to teeth. Understanding the relationship between blood flow and periodontal health aids in minimizing complications associated with orthodontic tooth movement.
18) Pose:
Pose in this context refers to the positioning or placement of teeth as a result of orthodontic treatment. Proper positioning is crucial for achieving functional and aesthetic goals while ensuring that any changes do not adversely affect periodontal health, necessitating careful planning and monitoring throughout the treatment process.
Other Health Sciences Concepts:
Discover the significance of concepts within the article: ‘An update on periodontic-orthodontic interrelationships’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:
Oral hygiene, Clinical studies, Long term effect, Plaque control, Systematic Review, Salivary bacterial count, Periodontium, Gingival Recession, Bone resorption, Malocclusion, Orthodontic treatment, Tooth Extraction, Gingival enlargement.