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[Spacing correction in adult patients].
1Faculty of Dentistry, Chulalongkorn University.
Summary
Adult orthodontic treatment addresses tooth migration caused by periodontal disease. This approach prevents further damage to periodontal structures and ensures long-term stability.
Area of Science:
- Dentistry
- Orthodontics
- Periodontology
Context:
- Tooth migration into extraction spaces is a frequent complication in adult patients with periodontal disease.
- Periodontal disease can lead to significant tooth mobility and malocclusion.
- Adult patients present unique challenges in orthodontic treatment planning.
Purpose:
- To outline fundamental principles for orthodontic treatment in adult patients.
- To detail strategies for managing tooth movement in three dimensions.
- To emphasize the importance of anchorage, prevention of iatrogenic effects, and relapse prevention.
Summary:
- The article presents essential adult orthodontics principles, including mandibular positioning, three-dimensional tooth movement control, and anchorage.
- It covers the prevention of treatment-induced complications and strategies to avoid relapse.
- Two case reports illustrate the application of these principles in clinical scenarios.
Impact:
- Provides a foundational guide for clinicians undertaking adult orthodontic cases.
- Aims to improve treatment outcomes and long-term stability in patients with periodontal concerns.
- Highlights the interdisciplinary nature of managing complex adult orthodontic and periodontal issues.