scholarly journals Management of chronic periodontitis: an interdisciplinary approach

2016 ◽  
Vol 4 (2) ◽  
pp. 65
Author(s):  
Sneha Dani ◽  
Savitha A.N ◽  
Kenneth Tan ◽  
Anand Naik ◽  
Charan Chhatrala ◽  
...  

Objective: In recent years, advances in technique as well as a growing public interest in developing and maintaining a healthy and attractive smile, has resulted in a greater understanding of the interrelationships between periodontics and orthodontics. The primary objective of periodontal therapy is to restore and maintain the health and integrity of the attachment apparatus of teeth. In adults, the loss of teeth or periodontal support can result in pathological teeth migration involving either a single tooth or a group of teeth. This may result in the development of a diastema, incisal proclination, rotation with collapse of the posterior occlusion.Materials and methods: This case report is of a 32 year old female patient who reported with swollen gums, generalized spacing between the teeth and extruded upper anterior tooth. Periodontal therapy followed by fixed orthodontic therapy was planned.Results: At the end of 2 years a stable healthy periodontium was established that was both functional and esthetic.Conclusion: Adjunctive orthodontic therapy is often necessary for successful restoration of periodontal health. On the other hand, successful orthodontic treatment will depend on the periodontal preparation before and after treatment and the maintenance of periodontal health throughout all phases of mechano-therapy.

2020 ◽  
Vol 54 (4) ◽  
pp. 338-346
Author(s):  
Manish Khatri ◽  
Komal Puri ◽  
Ashish Kumar ◽  
Mansi Bansal ◽  
Mohd. Rehan ◽  
...  

Orthodontics and periodontics have a sophisticated elaborate interdependence as every orthodontic intervention has a periodontal extent. Although orthodontic alignment promotes adequate plaque control, many detrimental effects on the periodontium may be observed during the treatment. Periodontal intervention is required at all stages of orthodontic therapy starting from orthodontist diagnosing a case to mid-treatment analysis of periodontium and also posttreatment investigation of the case. Many a time, successful orthodontic treatment is dependent on the overall maintenance of the health of the periodontium. On the other hand, orthodontic tooth alignment may be used as an adjunctive treatment in periodontally compromised patients. This review will help in better understanding of the orthodontic–periodontal interrelationship for the better framework of the treatment approach to bring out the optimum results in patients.


2004 ◽  
Vol 5 (4) ◽  
pp. 79-90 ◽  
Author(s):  
Aynur Medine Şahin Saǧlam ◽  
Vahide Baysal ◽  
A. Murat Ceylan

Abstract Nickel and cobalt are major components of alloys used in orthodontics. The objectives of this cross-sectional study was to determine the prevalence of a nickel hypersensitivity reaction before and after orthodontic treatment with conventional stainless steel brackets and wires. The total sample consisted of 82 patients (55 females, and 27 males) from the Orthodontic Department at the Faculty of Dentistry, Süleyman Demirel University. A patch test and a questionnaire were used to evaluate hypersensitivity to these metals. The statistical analysis was carried out using Fisher's exact X2 (2 x 2) test. The prevalence of nickel allergy was found to be higher in females than males (14.55% in females, 0% in males), and the prevalence of cobalt allergy was found to be 9.76% (7.27% in females, 14.81% in males). Orthodontic treatment with conventional stainless steel alloys does not appear to have an allergenic effect on the gingival and oral health of the patient. A family history of an allergy to these metals or the use of metallic objects in contact with the skin do not characterize nickel and cobalt hypersensitivity. This suggests orthodontic therapy with conventional stainless steel appliances does not initiate or aggravate a nickel hypersensitivity reaction. There was no association between the before treatment and after treatment to a nickel and cobalt hypersensitivity reaction. Citation Saglam AMS, Baysal V, Ceylan AM. Nickel and Cobalt Hypersensitive Reaction Before and After Orthodontic Therapy in Children. J Contemp Dent Pract 2004 November;(5)4:079-090.


2015 ◽  
Vol 86 (3) ◽  
pp. 380-385 ◽  
Author(s):  
Adel Alhadlaq ◽  
Thamer Alkhadra ◽  
Tarek El-Bialy

ABSTRACT Objective:  To compare anchorage condition in cases in which transpalatal arch was used to enhance anchorage in both continuous and segmented arch techniques. Materials and Methods:  Twenty cases that required first premolar extraction for orthodontic treatment and transpalatal arch to enhance anchorage were included in this study. Ten cases were treated using the continuous arch technique, while the other 10 cases were treated using 0.019 × 0.025-inch TMA T-loops with posterior anchorage bend according to the Burstone and Marcotte description. Lateral cephalometric analysis of before and after canine retraction was performed using Ricketts analysis to measure the anteroposterior position of the upper first molar to the vertical line from the Pt point. Data were analyzed using an independent sample t-test. Results:  There was a statistically significant forward movement of the upper first molar in cases treated by continuous arch mechanics (4.5 ± 3.0 mm) compared with segmented arch mechanics (−0.7 ± 1.4 mm; P  =  .01). Conclusions:  The posterior anchorage bend to T-loop used to retract the maxillary canine can enhance anchorage during maxillary canine retraction.


2018 ◽  
Vol 2018 ◽  
pp. 1-12
Author(s):  
Ayako Taira ◽  
Shiho Odawara ◽  
Shuntaro Sugihara ◽  
Kenichi Sasaguri

Comprehensive and appropriate occlusion reconstruction therapy is necessary for orthodontic treatment of adult patients with malocclusion with periodontal disease associated with occlusal trauma. We report the case of a patient with extensive moderate chronic periodontitis associated with occlusal trauma. The patient was diagnosed with extensive moderate chronic periodontitis associated with occlusal trauma and underwent thorough treatment for periodontal disease, oral management, and 20 months of orthodontic therapy. Moreover, reconstructed occlusion was performed to evaluate occlusal trauma for visualization using Brux Checker (BC) analysis before and after active orthodontic treatment. The patient acquired stable anterior guidance and a functional occlusal relationship. BC findings revealed weakening of the functional contact between the lateral occlusal force of the dentition and the front teeth and alveolar bone regeneration. The laminar dura became clearer, and the periodontal tissue improved. Our results suggest that assessment of occlusion function using BC analysis and periodontal examination was effective in enabling occlusal treatment goal clarification through orthodontic treatment in case of periodontal disease associated with occlusal trauma.


2021 ◽  
Author(s):  
Shreya Kishore ◽  
Vanita Barai ◽  
Suvetha Siva ◽  
Keerthi Venkatesan

Periodontal pathogenesis is a multi-factorial process and the orthodontist must recognize the clinical forms of inflammatory periodontal disease. Orthodontics is the most conservative and predictable treatment to improve numerous local etiological factors that contribute to periodontal disease including periodontal breakdown. Proper occlusal function and masticatory function are stimulatory to the gingival tissue and the attachment apparatus, while, conversely, a lack of function predisposes to disease that increases plaque retention and calculus formation along with gingival inflammation leading to increased loss of bony support. No matter how talented the orthodontist, a magnificent orthodontic correction can be destroyed by failure to recognize periodontal susceptibility. Therefore, identifying periodontally susceptible patients is critical for the outcome of the treatment. This chapter will highlight the importance of the short-term and long-term outcomes of orthodontic treatment, which are influenced by the patient’s periodontal status before, during and after active orthodontic therapy.


Author(s):  
Pujan Acharya ◽  
Charanjeet Singh Saimbi ◽  
Khushbu Adhikari ◽  
Bikash Kumar ◽  
Sita Niure

Corticotomy assisted orthodontic treatment is a promising interdisciplinary approach, which has offered solution to many limitations in the orthodontic therapy. The procedure involves the alveolar decortication in the form of cortical grooves and perforations performed around the teeth that are to be moved. In this case report, a 17 year old male under fixed orthodontic therapy with a complaint of delayed protraction of mandibular second molars underwent corticotomy procedure. The decortication was done followed by elevation of buccal and lingual flaps. After 2 weeks of the surgical procedure, orthodontic tooth movement was initiated.


2019 ◽  
Vol 100 (5) ◽  
pp. 833-839
Author(s):  
F S Ayupova ◽  
T V Gayvoronskaya ◽  
V A Mikhaylyuk

The aim of the study is a comparative analysis of the parameters of profile teleradiographs of the head of a teenager in the dynamics of orthodontic preparation for the surgical stage of treatment. Migration of individual teeth at the stage of orthodontic treatment led to the change in the inclination of occlusal plane (Ocp) relative to the jaw base and to the increase of the value of Wits index. In this regard, in order to clarify the volume of interventions at the surgical stage of patients rehabilitation, it is necessary to conduct dynamic comparative analysis of profile teleradiographs of the head obtained before and after the completion of pre-surgical stage of orthodontic treatment. The authors consider it appropriate to analyze the relative position and correspondence of the sagittal dimensions of the upper (NL) and lower (ML) jaws to the anterior section (SN) of the skull base, and to take into account the size of the chin protrusion determining the position of Pg point when measuring the profile angle and facial aesthetics according to Rickets.


2012 ◽  
Vol 9 (4) ◽  
pp. 306-309
Author(s):  
D Kafle ◽  
M Humagain ◽  
C Upadhaya

The lingual orthodontic therapy though started in 1972, could not be popular till the beginning of 1990. In Nepal it does not have a history of more than a year. It is started in Dhulikhel Hospital for the first time in Nepal. Usually orthodontic therapy is meant for putting braces on the labial surface of the teeth which is called labial orthodontic system. Lingual orthodontic system is a purely invisible kind of orthodontic therapy in which braces are placed behind the teeth. The advantages of lingual orthodontic therapy are: invisibility, better biomechanics and improved patient compliance. On the other hand it is difficult to master and costlier than labial orthodontics. We have presented six adjunctive orthodontic cases treated by lingual system with the same end result comparable to labial orthodontic system. DOI: http://dx.doi.org/10.3126/kumj.v9i4.6351 Kathmandu Univ Med J 2011;9(4):306-9


2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Nugroho Ahmad Riyadi

The aim of orthodontics treatment is normalization of teeth position in three planes, using various orthodontics appliance to reach the chepalometric standar and normal occlusion. Orthodontic treatment for dentoskeletal class II division 1 malocclusion in growing patients using myofunctional appliance may correct anteroposterior planes of mandibula. This study was a descriptive retrospective analytic study to look at the success of Orthodontic treatment for dentoskeletal class II division 1 in growing patients with myofunctional appliance using chepalometrics analysis Steiner value. The sample used in this study is chepalogram radiographic from patient with dentoskeletal class II division 1 malocclusion in growing patients before and after using myofunctional appliance in PPDGS orthodontics Clinic of Padjadjaran University. Statistic analysis were performed with pair t-test and Wilcoxon. Based on this study, it is concluded that orthodontic treatment with myofunctional appliance such as activator and twin block in growing patient with dentoskeletal class II division 1 malocclusion shows significant changes and compatibility with the normal criteria.


2012 ◽  
Vol 2 ◽  
pp. 9-18
Author(s):  
Arvydas Pacevičius

The publication features information on research done during the Bibliotheca Lituana project. In particular the focus is on collections of memory institutions, new perspectives on library and other memory institution, i.e. archives, museums, research. Modern library history has adopted relevant theoretical perspectives from social and cultural theory. Currently these perspectives incorporate not only the activities and collections of the aforementioned institutions but also the more widely interpreted information infrastructure, that do not have libraries as their main frame of reference. Problems faced publishing archival sources are also examined. It was determined that insufficient attention is given to research and publication of old catalogues, inventories and book listings. On the other hand a unified system and methodology for publishing of the aforementioned sources does not exist. We come to a conclusion that through new research paradigms, an interdisciplinary approach and change of thought in the archival, librarian and museology communities, we can start systematic research of libraries and other memory institutions. Their results would complement the pages of the continued Bibliotheca Lituana publications.


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