Orthodontic management in the presence of periodontal pathology requires a meticulous interdisciplinary strategy to ensure both dental alignment and gum health are effectively controlled. Periodontal disease, which affects the gums and supporting structures of the teeth, can complicate orthodontic treatment if left untreated. When considering tooth movement, a thorough evaluation by a periodontist or gum specialist is essential. This includes evaluating radiographic bone levels, bleeding on probing, and tissue resilience.
Individuals experiencing ongoing gum inflammation should postpone appliance placement until their condition is in remission. This typically involves professional deep cleanings, improved at-home oral hygiene, and sometimes surgical interventions. Once the gums are free from active infection and inflammation, orthodontic treatment can be initiated with modified protocols. The orthodontist must customize mechanics to preserve periodontal integrity. This may include using lighter forces, longer treatment intervals, and avoiding certain types of tooth movement that could exacerbate bone loss.
Ongoing collaborative surveillance during orthodontic intervention is critical. Patients must maintain excellent oral hygiene, as braces and aligners can make it harder to clean teeth thoroughly. Adjunctive hygiene aids like proxy brushes, oral irrigators, and chlorhexidine gels may be recommended. Any signs of bleeding, swelling, or loosening teeth during treatment should be addressed immediately.
After orthodontic treatment is complete, retention is just as important as the movement phase. A securely adapted retention device helps stabilize alignment and support periodontal health. Ongoing professional periodontal care is mandatory to ensure the long-term stability of periodontal tissues and sustain the aesthetic and 鐘ヶ淵 矯正歯科 functional benefits of treatment.
Collaboration between the orthodontist and periodontist, along with the patient’s commitment to oral health, is the key to successful outcomes. With the right care, patients with compromised periodontal status can attain optimal alignment without sacrificing gum health without compromising their gum health.
