Collaboration of orthodontics and periodontics. Periodontal issues in modern biologic orthodontics

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Orthodontists and periodontists must be aware of the biologic basis of periodontal orthodontic relationships during clinical theraphies. Synergism between two specialists should approve the results for favourable treatment outcomes. With collaboration, orthodontic therapy can enhance periodontal health and periodontal therapy can enhance the orthodontic outcomes. While technology provides us the interaction between specialties, biology establishes the basis of treatment. Orthodontist of the new century would consult experienced, responsible and enlightened periodontist. Patients undergoing orthodontic treatment must be informed about possible periodontal risks, gingival overgrowth and alveolar bone loss. In the present article conventional and current theraphies including acellular dermal matrix, enamel matrix proteins and periodontal plastic surgeries and a new orthognatic surgery alternative “periodontally accelerated osteogenic orthodontics” will be discussed. Also we will try to give answers to following questions: “Does orthodontic treatment contribute to periodontal disease?”, “Could periodontally infected patiensts be treated with orthodontic tooth movements?”, “Which and when a surgical approach should be made to patients?”, “Which treatment options give best outcomes and less harm to periodontal tissues?”, “How frequent will orthodontic patients be followed by a periodontist?”. Also, advantages and disadvantages, limitations, indications and contraindications of orthodontic treatment from periodontal perspective will be discussed.

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Orthodontics , Periodontology , collaboration

Cumhuriyet Dental Journal

63

Cumhuriyet Dental Journal