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Orthodontic procedures improving periodontal prognosis
1Department of Orthodontics, Medical Faculty, University of Aachen, Germany.
Dental Clinics of North America
|October 1, 1996
Summary
Orthodontic tooth movement in periodontally compromised patients requires individualized assessment. Treatment success depends on factors like esthetics, function, and periodontal prognosis, not just probing depth.
Area of Science:
- Dental Science
- Orthodontics
- Periodontology
Background:
- Interrelations between orthodontics and periodontology are crucial for preventive care and comprehensive rehabilitation.
- Adult orthodontics presents challenges in defining therapeutic limits for periodontally affected patients.
Purpose of the Study:
- To explore the complex relationship between orthodontic treatment and periodontal health.
- To emphasize the individualized approach needed for orthodontic tooth movement in periodontally compromised adults.
Main Methods:
- Literature review on the interdisciplinary approach of orthodontics and periodontology.
- Clinical case evaluation considering multiple treatment factors.
Main Results:
- Defining exact metric limits for orthodontic tooth movement in periodontally compromised teeth is not feasible.
- Treatment goals must be determined on a case-by-case basis.
Conclusions:
- Orthodontic treatment in periodontally affected patients necessitates a thorough evaluation of esthetics, function, risks, biomechanics, and periodontal prognosis.
- Individualized treatment planning is paramount for successful outcomes in combined orthodontic-periodontal therapy.