PERIODONTICS-ORTHODONTICS RELATIONSHIP

📌 POINTS TO PONDER

🔹The effects of orthodontic treatment on periodontium are:

– Favors plaque accumulation

– Modifies the gingival ecosystem

– Gingival recession and hyperplasia

– Excessive force causes necrosis of periodontal ligament and alveolar bone.

🔹After 4–6 weeks of regenerative osseous therapy, orthodontic treatment can be initiated.

🔹PAOO is contraindicated in patients with active periodontal disease or gingival recession.

🔹Fiberotomy reduces the occurrence of rotational relapse.

🔹In thin gingival biotype, free gingival grafting is done before the beginning of orthodontic movement.

📣 Systematics Of Combined Treatment

👉 Following is the systematic approach of combined periodontal and orthodontic treatment:

💠 Phase I: Preorthodontic Phase

🔸Reduction of marginal inflammation: Plaque control, scaling and root planing.