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[Risks of orthodontic treatment].
1Afdeling Orthodontie, Academisch Centrum Tandheelkunde Amsterdam (ACTA). h.vanbeek@zeelandnet.nl
Nederlands Tijdschrift Voor Tandheelkunde
|July 10, 2009
Summary
Orthodontic treatment risks include enamel damage and root resorption, though severe issues are rare. The primary risk is inadequate patient information regarding treatment possibilities and outcomes.
Area of Science:
- Dentistry
- Orthodontics
- Oral Health
Background:
- Orthodontic treatment, while beneficial, carries potential risks that require careful consideration.
- Literature review identifies several potential adverse outcomes associated with orthodontic interventions.
Purpose of the Study:
- To comprehensively review and delineate the risks associated with orthodontic treatment.
- To highlight the most significant risks and contributing factors.
Main Methods:
- Systematic literature review of identified orthodontic treatment risks.
- Analysis of the incidence, severity, and contributing factors for each identified risk.
Main Results:
- Common risks include enamel demineralization (without proper hygiene), minor root resorption, and gingival recessions.
- Severe temporomandibular disorders and tooth devitalization are infrequent.
- Treatment failure is linked to goal setting, provider skill, and patient cooperation.
- Relapse is common but not a primary treatment risk; inadequate patient information is the greatest risk.
Conclusions:
- Most orthodontic risks are manageable with appropriate patient care and education.
- Informed consent is paramount, addressing all potential outcomes and limitations of treatment.
- Understanding individual susceptibility and genetics may influence risk assessment.
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