Precautions and possibilities in orthodontic treatment of periodontally compromised patients: Current recommendations

Document Type

Article

Publication Title

Journal of Esthetic and Restorative Dentistry

Abstract

Abstract

Objective

Orthodontic treatment plays a crucial role in achieving optimal dental esthetics and functional occlusion. However, when periodontally compromised patients are involved, additional precautions and considerations are critical. This article aims to provide up-to-date recommendations for the orthodontic treatment of periodontally compromised patients.

Clinical Considerations

Comprehensive diagnosis of the patient's periodontal status, inherent malocclusion, and secondary malocclusion resulting from periodontal disease are essential for achieving optimal esthetics and functional occlusion. This can be facilitated through the use of a simplified checklist. Prior to orthodontic treatment, pre-existing periodontal diseases should be managed. Light and controlled forces should be used to minimize the risk of adverse effects on the periodontium, and any potential traumatic occlusion during tooth movement should be minimized. Furthermore, careful anchorage management is required, and proper application of temporary anchorage devices can significantly expand the scope of orthodontic treatment. Finally, treatment results are maintained by ongoing supportive periodontal therapy even during the retention period.

Conclusions

This article presents clinical cases demonstrating the importance of accurate diagnosis in orthodontics and periodontics and the positive impact of orthodontic treatment on patients with pre-existing periodontal diseases.

Clinical Significance

An up-to-date orthodontic treatment protocol for periodontally compromised patients is presented.

First Page

595

Last Page

605

DOI

doi.org/10.1111/jerd.13166

Publication Date

4-2024

Comments

Accepted Version

12 Month embargo, Publisher source must be acknowledged with citation, Must link to publisher version with set statement (see policy) and DOI

Han, H., Ko, Y., Ham, L. K., Park, J. H., & Kim, Y. (2024). Precautions and possibilities in orthodontic treatment of periodontally compromised patients: Current recommendations. Journal of Esthetic and Restorative Dentistry, 36(4), 595-605. https://doi.org/10.1111/jerd.13166

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