Periodontal and orthodontic approach in periodontally compromised adults / Abordagem periodontal e ortodôntica em adultos com periodonto comprometido

Saúde bucal é uma condição para prevenir muitas doenças. Cirurgia combinada com boa higiene bucal e o uso de forças ortodônticas leves para o tratamento de pacientes adultos, os quais apresentam história de doença periodontal pode prevenir perda dentária e disseminação da infecção. O objetivo foi descrever a abordagem periodontal e ortodôntica em adultos com periodonto comprometido. Cirurgia periodontal é indicada quando há extensa perda óssea devido à periodontite, com objetivo de eliminar contaminações e tecido de granulação. Quando o status periodontal for saudável e controlado, um tratamento ortodôntico, em conjunto pode ser iniciado. Boa higiene bucal, profilaxia antibiótica e terapia periodontal-ortodôntica combinadas podem produzir bons resultados para formação de um novo suporte periodontal, após movimentos de intrusão, visto não haver mais nenhuma evidência de doença periodontal e aplicação de adequado sistema de forças. Além disso, a abordagem periodontal parece produzir um estímulo positivo para a neo-formação óssea(AU)

Oral health is a condition to prevent many diseases. Surgery combined with oral hygiene and the use of light orthodontic forces for the treatment of adult patients who have a history of periodontal disease can prevent teeth loss and infection dissemination. To describe periodontal and orthodontic approach in periodontal compromised adults. Periodontal surgery is indicated when there is extensive bone loss due to periodontitis. When periodontal status is healthy and under control, an adjunctive orthodontic treatment can be initiated. Good oral hygiene, antibiotic prophylaxis and a combined periodontal-orthodontic treatment can produce good results because the new attachment conditions may be formed after orthodontic intrusion provided there is no longer any evidence of periodontal disease and a proper force system was applied. The surgical approach produces a positive stimulus for a new bone formation(AU)

Corticotomy‑assisted retraction: An outcome assessment.

Background: To assess the efficiency and treatment outcome of patients treated with corticotomy‑assisted en‑masse orthodontic retraction as compared with the en‑masse retraction without corticotomy. Materials and Methods: Forty adult patients with bimaxillary protrusion requiring correction of bidental proclination constituted the sample. The study group consisted of 22 patients (male 11, female 11) willing to undergo surgery to reduce the duration of their orthodontic treatment and 18 patients (male 9, female 9) desirous of undergoing conventional orthodontic treatment without surgical intervention constituted the control group. Comparison of rate of retraction and anchor loss between the study and the control group was assessed. Results: Average rate of space closure of 1.8 mm/month in the maxilla and 1.57 mm/month in the mandible was observed in the study group compared to 1.02 mm/month in the maxilla and 0.87 mm/month in the mandible in the control group. The rate of retraction accelerated during the first 2 months of retraction. Molar anchor loss of approximately 0.6 mm occurred in the study group, and 1.8 mm occurred in the control group during the 4 months. Conclusion: The rate of retraction with study group was twice as faster when compared to the control group, accelerating during the first 2 months of retraction. There was better anchorage control with the undecorticated molar segment during the retraction period but was found to increase as time advanced.