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1. Orthodontic scars
the undesirable memories
Make a mark through your
treatment but not an unfortunate
one
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INDIAN DENTAL ACADEMY
Leader in continuing dental education
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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
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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
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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
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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
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6. 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
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8. • An extension of plaque and inflammatory process subgingivally leads to
marginal bone loss
• Greater marginal bone loss seen in maxilla
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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
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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