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Orthodontic scars
the undesirable memories
Make a mark through your
treatment but not an unfortunate
one
www.indiandentalacademy.com
INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com
POSSIBLE SIDE EFFECTS OF ORTHODONTIC
TREATMENT
• CROWN:DECALCIFICATION AND CARIES
PHYSICAL INJURIES
ENAMEL WEAR
ENAMEL FRACTURE OR CRACK
ENAMEL TEAR OUT
• ROOTS : RESORPTION
EARLY CLOSURE OF ROOT APEX
• PERIODONTAL APPARATUS :
-GINGIVA : GINGIVITIS
GINGIVAL RECESSION
GINGIVAL HYPERPLASIA / SWELLING
INTERDENTAL FOLD
ULCERATION
-BONE :MARGINAL BONE LOSS
INFRABONY POCKETS
BONE FENESTRATIONS
www.indiandentalacademy.com
CROWN
Caries / demineralisation
• affects 2% to 96% of all orthodontic patients
• Maxillary lateral incisors, maxillary canines, and mandibular premolars are
the most commonly affected
www.indiandentalacademy.com
Physical damages on enamel
• Excessive tooth wear from occlusal contacts with orthodontic brackets;
• worst with ceramic, metal, and composite brackets
• Frequently affects: incisal edge of the upper anterior teeth and the buccal
cusps of upper posterior teeth
• Debonding and debanding procedures constitute a risk of tooth fracture
www.indiandentalacademy.com
Roots
• Some degree of external root resorption is inevitably associated with
fixed appliance treatment
• degree of root resorption is usually less than 2 mm, but can be more
extensive
• cause :excessive force and hyalinization of the periodontal ligament
results in excessive activity of cementoclasts and osteoclasts.
• associated risk factors
- Traumatized teeth;
- Root canal treated;
- Excessive forces
- Longer Force duration
- Movement of root apices against cortical bone
- Systemic disorders
www.indiandentalacademy.com
www.indiandentalacademy.com
Periodontal tissues
• Some degree of gingival inflammation (bleeding) always associated
• Labial movement of mandibular incisors may result in gingival recession
• Compressed gingiva in extraction sites may produce a long-lasting epithelial
tissue fold most frequently on the buccal aspect of mandibular first premolar
extraction sites
• Lacerations to the gingivae and oral mucosa may present as ulceration or
hyperplasia
www.indiandentalacademy.com
• An extension of plaque and inflammatory process subgingivally leads to
marginal bone loss
• Greater marginal bone loss seen in maxilla
www.indiandentalacademy.com
Prevention
A thorough examination and history to assess local and systemic risk
factors
Oral hygiene instruction essential in all cases
• Use of sonic electric toothbrushes, interproximal brushes, chlorhexidine
mouthwashes, fluoride mouthwashes
• Regular professional cleaning
• Elimination of periodontal pockets
Use of dental wax over the bracket may reduce trauma and discomfort
• Rubber tubing on the unsupported archwire.
• Careful instrumentation
www.indiandentalacademy.com
• Though pain and discomfort are inseparable parts of treatment orthodontist
should make every effort to make treatment as pleasant as possible, so that
orthodontic treatment is not left as a scar in patients mind
Thank you
For more details please visit
www.indiandentalacademy.com
www.indiandentalacademy.com

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Orthodontic scars /certified fixed orthodontic courses by Indian dental academy

  • 1. Orthodontic scars the undesirable memories Make a mark through your treatment but not an unfortunate one www.indiandentalacademy.com INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com
  • 2. POSSIBLE SIDE EFFECTS OF ORTHODONTIC TREATMENT • CROWN:DECALCIFICATION AND CARIES PHYSICAL INJURIES ENAMEL WEAR ENAMEL FRACTURE OR CRACK ENAMEL TEAR OUT • ROOTS : RESORPTION EARLY CLOSURE OF ROOT APEX • PERIODONTAL APPARATUS : -GINGIVA : GINGIVITIS GINGIVAL RECESSION GINGIVAL HYPERPLASIA / SWELLING INTERDENTAL FOLD ULCERATION -BONE :MARGINAL BONE LOSS INFRABONY POCKETS BONE FENESTRATIONS www.indiandentalacademy.com
  • 3. CROWN Caries / demineralisation • affects 2% to 96% of all orthodontic patients • Maxillary lateral incisors, maxillary canines, and mandibular premolars are the most commonly affected www.indiandentalacademy.com
  • 4. Physical damages on enamel • Excessive tooth wear from occlusal contacts with orthodontic brackets; • worst with ceramic, metal, and composite brackets • Frequently affects: incisal edge of the upper anterior teeth and the buccal cusps of upper posterior teeth • Debonding and debanding procedures constitute a risk of tooth fracture www.indiandentalacademy.com
  • 5. Roots • Some degree of external root resorption is inevitably associated with fixed appliance treatment • degree of root resorption is usually less than 2 mm, but can be more extensive • cause :excessive force and hyalinization of the periodontal ligament results in excessive activity of cementoclasts and osteoclasts. • associated risk factors - Traumatized teeth; - Root canal treated; - Excessive forces - Longer Force duration - Movement of root apices against cortical bone - Systemic disorders www.indiandentalacademy.com
  • 7. Periodontal tissues • Some degree of gingival inflammation (bleeding) always associated • Labial movement of mandibular incisors may result in gingival recession • Compressed gingiva in extraction sites may produce a long-lasting epithelial tissue fold most frequently on the buccal aspect of mandibular first premolar extraction sites • Lacerations to the gingivae and oral mucosa may present as ulceration or hyperplasia www.indiandentalacademy.com
  • 8. • An extension of plaque and inflammatory process subgingivally leads to marginal bone loss • Greater marginal bone loss seen in maxilla www.indiandentalacademy.com
  • 9. Prevention A thorough examination and history to assess local and systemic risk factors Oral hygiene instruction essential in all cases • Use of sonic electric toothbrushes, interproximal brushes, chlorhexidine mouthwashes, fluoride mouthwashes • Regular professional cleaning • Elimination of periodontal pockets Use of dental wax over the bracket may reduce trauma and discomfort • Rubber tubing on the unsupported archwire. • Careful instrumentation www.indiandentalacademy.com
  • 10. • Though pain and discomfort are inseparable parts of treatment orthodontist should make every effort to make treatment as pleasant as possible, so that orthodontic treatment is not left as a scar in patients mind Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com