Orthodontic treatment for periodontal defects: An interdisciplinary approach
Journal name: Journal of Indian Society of Periodontology
Original article title: Orthodontic intervention to resolve periodontal defects: An interdisciplinary approach
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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Priyanka Khurana, Vivek P. Soni
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Orthodontic intervention to resolve periodontal defects: An interdisciplinary approach
Year: 2010 | Doi: 10.4103/0972-124X.76922
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
In the contemporary landscape of dentistry, orthodontic treatment has increasingly appealed to adults seeking enhanced esthetics. However, adult patients present unique challenges that include various periodontal issues such as gingival margin discrepancies, missing papillae, and bone loss, which may complicate their orthodontic care. To ensure optimal treatment outcomes, a collaborative approach between orthodontists and periodontists is essential. This article explores the various dilemmas encountered during orthodontic care for adults with periodontal defects, emphasizing the need for coordinated treatment strategies.
Periodontal Complications in Orthodontics
One of the primary concerns in adult orthodontic patients is the presence of gingival margin discrepancies, which may arise from factors like tooth abrasion or tissue migration. Clinicians must evaluate the relationship of the incisors and the condition of the labial sulcular depth to determine the appropriate course of action. Options include orthodontic repositioning of the gums or surgical correction. Additionally, addressing missing papillae involves correcting root divergence or tooth shapes through appropriate bracket placement and tooth recontouring. The article underscores the pivotal decisions that must be made before initiating orthodontic therapy to manage these periodontal complications effectively, ensuring a functional and esthetic outcome.
Conclusion
In light of the increasing number of adults seeking orthodontic treatment, it is crucial to approach care with awareness of the underlying periodontal issues common to this demographic. Collaboration between orthodontists and periodontists is vital for maximizing therapeutic outcomes while minimizing complications. Understanding the complexities of periodontal defects, including soft and hard tissue issues, equips practitioners to devise tailored treatment plans that address both aesthetics and periodontal health, ultimately enhancing the success of orthodontic therapies in adults.
FAQ section (important questions/answers):
What challenges do adults face with orthodontic treatment?
Adults often present with periodontal issues such as uneven gingival margins, missing papillae, and bone loss, which complicates traditional orthodontic approaches and necessitates collaboration with a periodontist.
How can soft tissue defects be addressed during orthodontics?
Soft tissue defects like gingival margin discrepancies can be treated either through orthodontic movement or surgical correction, depending on the specific cause and relationship between the incisors.
What are interproximal craters in periodontal terms?
Interproximal craters are two-wall defects characterized by attachment loss on adjacent roots. Orthodontic treatment cannot resolve these issues, necessitating prior bone removal and recontouring.
When should mucogingival grafting occur in orthodontic treatment?
Mucogingival grafting is recommended before orthodontic therapy in areas with insufficient attached gingiva to ensure stability and health of the periodontium during treatment.
What are the options for treating horizontal bone loss?
In cases of significant horizontal bone loss, optimizing the crown/root ratio through clinical crown length reduction may be necessary to improve stability and reduce tooth mobility.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Orthodontic treatment for periodontal defects: An interdisciplinary approach”. 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) Wall:
The term 'Wall' refers to the structural components of bone defects in periodontal therapy. In orthodontics, walls can be categorized as one-, two-, or three-wall defects, impacting treatment approaches. Understanding whether a defect has adequate walls influences surgical or orthodontic intervention strategies needed for optimal outcomes in adult patients.
2) Surface:
'Surface' relates to the exposed areas of teeth and roots in the context of periodontal health and treatment. It can refer to the buccal and lingual surfaces, which influence how orthodontic movements affect gingival tissue and bone structure. Properly managing the surfaces is crucial for achieving esthetic and functional orthodontic results.
3) Hand:
The term 'Hand' signifies the collaboration and skilled practice required among dental professionals. It highlights the importance of teamwork between orthodontists and periodontists, as effective treatment for adult patients with orthodontic needs necessitates synchronized efforts and shared responsibility to address periodontal defects and improve overall patient satisfaction and outcomes.
4) Inflammation:
'Inflammation' is a biological response contributing to periodontal diseases, which can complicate orthodontic treatment. Understanding the inflammatory processes affecting the periodontium helps clinicians devise strategies to manage conditions like furcation involvement or bone loss. Addressing inflammation is vital to prevent complications during orthodontic therapy, ensuring better treatment efficacy.
5) Developing:
The word 'Developing' indicates the ongoing biological changes that occur in periodontal tissues during orthodontic treatment. Recognizing how tissues adapt and change positions over time assists orthodontists in formulating accurate treatment plans. It underscores the dynamic nature of periodontal healing and tooth movement, guiding practitioners in making informed decisions.
6) Grafting:
'Grafting' refers to surgical procedures used to enhance the width of attached gingiva or to regenerate lost periodontal tissue. This technique is significant for adult orthodontic patients who present with mucogingival defects. By addressing these deficiencies through grafting, clinicians can facilitate more successful orthodontic movements and improve long-term periodontal health.
7) Animal:
'Animal' denotes the use of animal studies in understanding orthodontic and periodontal interactions. Research involving animal models provides insights into biological responses to tooth movement and periodontal treatments. Findings from such studies help clinicians develop evidence-based strategies for managing complex adult cases, reinforcing the validity of their treatment approaches.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Orthodontic treatment for periodontal defects: An interdisciplinary approach’. Further sources in the context of Science might help you critically compare this page with similair documents:
Clinical crown height, Orthodontic therapy, Mucogingival defects, Periodontal problem, Gingival tissue, Horizontal bone loss.