Management of Adult Orthodontics with Periodontal Disease

Abstract

It is the responsibility of orthodontists to diagnose periodontal issues and address the multidisciplinary therapy of various periodontal issues needing orthodontic therapy. Adults can be quickly and effectively screened for periodontal disorders using the periodontal screening and recording technique. It condenses the information into the basic essential paperwork. An orthopantomograph which is useful for basic scanning, is used by most orthodontists. Plaque, subgingival calculus, and occlusal trauma are some of the etiologic variables that are the focus of preorthodontic periodontal therapy. A customized home-care program is part of the initial phase of periodontal treatment. Before beginning orthodontic therapy, the periodontist should assess sites of minimally attached gingiva. Grafting may be necessary for teeth with gingiva less than 2 mm thick. The conventional techniques for root covering were gingival and pedicle grafting. The type of defect, such as a crater, hemiseptal defect, three-walled defect, and/or furcation lesion, will determine the amount of the osseous repair. The bone level may have moved back several millimeters from the cementoenamel junction in a patient who has experienced extensive horizontal bone loss. To correct the disparities, periodontal surgery might be necessary. The patient must continue on a three-month periodontal maintenance program once orthodontic treatment is finished. After the release of the band, it may take up to six months for appropriate bone remodeling, the termination of mobility, and the constriction of the periodontal ligaments to occur.