Orthodontic scars /certified fixed orthodontic courses by Indian dental academy
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats. Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics, Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call 0091-9248678078
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Orthodontic scars /certified fixed orthodontic courses by Indian dental academy
- 1. Orthodontic scars the undesirable memories Make a mark through your treatment but not an unfortunate one www.indiandentalacademy.com INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com
- 2. POSSIBLE SIDE EFFECTS OF ORTHODONTIC TREATMENT • CROWN:DECALCIFICATION AND CARIES PHYSICAL INJURIES ENAMEL WEAR ENAMEL FRACTURE OR CRACK ENAMEL TEAR OUT • ROOTS : RESORPTION EARLY CLOSURE OF ROOT APEX • PERIODONTAL APPARATUS : -GINGIVA : GINGIVITIS GINGIVAL RECESSION GINGIVAL HYPERPLASIA / SWELLING INTERDENTAL FOLD ULCERATION -BONE :MARGINAL BONE LOSS INFRABONY POCKETS BONE FENESTRATIONS www.indiandentalacademy.com
- 3. CROWN Caries / demineralisation • affects 2% to 96% of all orthodontic patients • Maxillary lateral incisors, maxillary canines, and mandibular premolars are the most commonly affected www.indiandentalacademy.com
- 4. Physical damages on enamel • Excessive tooth wear from occlusal contacts with orthodontic brackets; • worst with ceramic, metal, and composite brackets • Frequently affects: incisal edge of the upper anterior teeth and the buccal cusps of upper posterior teeth • Debonding and debanding procedures constitute a risk of tooth fracture www.indiandentalacademy.com
- 5. Roots • Some degree of external root resorption is inevitably associated with fixed appliance treatment • degree of root resorption is usually less than 2 mm, but can be more extensive • cause :excessive force and hyalinization of the periodontal ligament results in excessive activity of cementoclasts and osteoclasts. • associated risk factors - Traumatized teeth; - Root canal treated; - Excessive forces - Longer Force duration - Movement of root apices against cortical bone - Systemic disorders www.indiandentalacademy.com
- 7. Periodontal tissues • Some degree of gingival inflammation (bleeding) always associated • Labial movement of mandibular incisors may result in gingival recession • Compressed gingiva in extraction sites may produce a long-lasting epithelial tissue fold most frequently on the buccal aspect of mandibular first premolar extraction sites • Lacerations to the gingivae and oral mucosa may present as ulceration or hyperplasia www.indiandentalacademy.com
- 8. • An extension of plaque and inflammatory process subgingivally leads to marginal bone loss • Greater marginal bone loss seen in maxilla www.indiandentalacademy.com
- 9. Prevention A thorough examination and history to assess local and systemic risk factors Oral hygiene instruction essential in all cases • Use of sonic electric toothbrushes, interproximal brushes, chlorhexidine mouthwashes, fluoride mouthwashes • Regular professional cleaning • Elimination of periodontal pockets Use of dental wax over the bracket may reduce trauma and discomfort • Rubber tubing on the unsupported archwire. • Careful instrumentation www.indiandentalacademy.com
- 10. • Though pain and discomfort are inseparable parts of treatment orthodontist should make every effort to make treatment as pleasant as possible, so that orthodontic treatment is not left as a scar in patients mind Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com