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References

Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999; 4:1-6
Armitage GC. Periodontal diagnoses and classification of periodontal diseases. Periodontology 2000. 2004; 34:9-21
Artun J, Urbye KS. The effect of orthodontic treatment on periodontal bone support in patients with advanced loss of marginal periodontium. Am J Orthod Dentofacial Orthop. 1988; 93:143-148
Boyd RL, Leggott PJ, Quinn RS, Eakle WS, Chambers D. Periodontal implications of orthodontic treatment in adults with reduced or normal periodontal tissues versus those of adolescents. Am J Orthod Dentofacial Orthop. 1989; 96:191-198
Wennstrom JL, Stokland BL, Nyman S, Thilander B. Periodontal tissue response to orthodontic movement of teeth with infrabony pockets. Am J Orthod Dentofacial Orthop. 1993; 103:313-319
Atack NE, Sandy JR, Addy M. Periodontal and microbiological changes associated with the placement of orthodontic appliances. A review. J Periodont. 1996; 67:78-85
Turkkahraman H, Sayin MO, Bozkurt FY, Yetkin Z, Kaya S, Onal S. Archwire ligation techniques, microbial colonization, and periodontal status in orthodontically treated patients. Angle Orthod. 2005; 75:231-236
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Orthodontic and periodontal multidisciplinary care

From Volume 44, Issue 6, June 2017 | Pages 558-562

Authors

Gurpreet Pye

BDS(Hons), MFDS RCS(Ed), MOrth(Ed), MDentSci, FDS(Orth) RCPS(Glasg)

Consultant Orthodontist, Dundee Dental Hospital and School, Park Place, Dundee DD1 4HR, UK

Articles by Gurpreet Pye

Andrew Pye

Consultant in Restorative Dentistry, Dundee Dental Hospital and School, Park Place, Dundee DD1 4HR, UK

Articles by Andrew Pye

Abstract

Patients who are at risk of, or have a history of, periodontal disease requesting orthodontic treatment require careful multidisciplinary management in order to achieve optimal orthodontic and periodontal outcomes. An understanding of the periodontal tissues and the disease processes that can affect the periodontium is required by the orthodontist to ensure that patients are managed appropriately.

CPD/Clinical Relevance: This paper discusses the multidisciplinary management of periodontal patients who require orthodontic treatment and methods for ensuring optimal outcomes.

Article

It is important that the orthodontist and those involved in the orthodontic management of patients have an understanding of periodontal tissues, diseases of the periodontium, how orthodontic treatment can affect the periodontium, and how the periodontist and orthodontist can work together to manage patients successfully. General dental practitioners have multiple roles within the multidisciplinary team, including identifying patients who may benefit from orthodontic treatment, as well as ensuring that patients are dentally fit and have received appropriate preventive advice.

Those involved in the orthodontic management of patients should have an awareness of the diagnosis of periodontal diseases and their management. Periodontal diseases are classified according to the 1999 International Workshop for the Classification of Periodontal Diseases and Conditions.1 There are a large number of possible diagnoses of the periodontal tissues. However, the most common conditions that are likely to be encountered by the orthodontist are plaque-induced gingivitis, chronic periodontitis and, less commonly, aggressive periodontitis. Further discussion regarding the diagnosis and classification of periodontal conditions can be found in the review paper by Armitage.2

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