ORTODONTİ-PERİODONTOLOJİ İLİŞKİSİ

Abstract

Ortodontik tedavinin başarısı; hastanın periodontal durumundan etkilenmekte olduğundan, periodontal destek olmadan ideal bir sonuç elde etmek mümkün değildir. Bu nedenle ortodonti, periodontoloji branşıyla bir ekip çalışması içerisindedir. Ülkemizde ortodontik tedavi, artık sadece erken yaşta uygulanan bir tedavi olmayıp, 35 yaş üstü erişkin bireylerde de kolay kabul görmektedir. Ortodonti kliniğinde karşılaşılan hastalar her zaman periodontal açıdan sağlıklı olmayıp çoğunlukla hafif dereceden şiddetliye birçok periodontal sorunla hekimin karşısına gelmek- tedir. Bu derlemede, ortodontik tedavinin etkinliği ve çevre dokulara etkileri açısından periodontal olarak sağlıklı ve periodontal olarak hasta bireyler olarak ayrı gruplar içerisinde konular tartışılacaktır. Ayrıca aşağıdaki sorular da ayrı bölümler içerisinde yanıt bulacaktır; "Ortodontik tedavi periodontal problemlere sebep olur mu?" , "Tedavide kullanılan mekanikler periodontal dokular üzerinde olumlu/olumsuz etki yaratır mı?", "Periodontal problemli hastalarda ortodontik tedavi yaklaşımları nelerdir?", "Ortodontik tedavi sonrası nüksün önlenmesi için neler yapılabilir?", "Estetik sorunların çözümünde ortodonti ve periodontoloji işbirliği ile ideal sonuçlar elde etmek mümkün müdür?"

Anahtar Kelimeler: Ortodonti, periodontoloji, ilişki

Keywords

• Ortodonti, periodontoloji, ilişki

ORTHODONTICS-PERIODONTOLOGY RELATIONSHIP

Abstract

Success of an orthodontic treatment is affected by the patients periodontal health status, so without periodontal suppport, it is impossible to get an ideal result. This is why orthodontics need to work as a team with periodontology. Today, orthodontic treatments are not just preffered by pre-adolescent patients, but also by adult individuals over the age of 35. Unfortunately, patients visiting our clinics do not always have healthy periodontal tissues. Usually they have mild to moderate periodontal problems when they come to the clinic. In this review, patients will be discussed in two groups as periodontally healthy and periodontally compromised. Also questions such as: "Does orthodontic treatment cause periodontal problems?", "Do mechanics used in orthodontic treatment affect periodontal tissues?", "What are the treatment options in periodontally compromised patients?", "What can be done to prevent relapse after treatment?", "Is it possible to have ideal result in esthetic problems with the collaboration of orthodontics and periodontology?" will be answered in this review

Keywords

• ınterrelationship Orthodontics, periodontology

References

1. Gottlieb EL, Nelson AH, Vogels DS. JCO Orthodontic Practice Study. Part 1: Trends. J Clin Orthod 1997;31:675.
2. Gökalp S, Güçiz Doğan B, Tekçiçek M, Berberoğlu A, Ünlüer Ş. Erişkin ve yaşlılarda ağız-diş sağlığı profili, Türkiye-2004. Hacettepe Diş Hek Fak Derg 2007;31:11-8.
3. E, Rodríguez-Torres C, Gahleitner HP, A, Heissenberger
4. regeneration by bodily tooth movement: Dental computed
5. patient. Am J Orthod
6. 2004;125:100-6. Bone tomography examination Dentofacial Orthop
7. Waerhaug J. Eruption of teeth into crowded position, loss of attachment and downgrowth of subgingival plaque. Am J Orthod Dentofacial Orthop 1980; 78: 453-9.
8. VanVenroy JR, Yukna RA. Orthodontic extrusion of singlerooted teeth affected with advanced periodontal disease. Am J Orthod Dentofacial Orthop 1985;67:74.

9. Lino S, Taira K, Machigashira M, Miyawaki S. Isolated vertical infrabony defects treated by orthodontic tooth extrusion. Angle Orthod 2008;78:728–36.
10. Pikdoken L, Erkan M, Usumez S. Gingival response to mandibular incisor extrusion. Am J Orthod Dentofacial Orthop 2009;135:432.
11. Melsen B, Agerbaek N, Markenstam G. Intrusion of incisors in adult patients with marginal bone loss. Am J Orthod Dentofacial Orthop 1989;96:232.
12. Erkan M, Pikdoken L, Usumez S. Gingival response to mandibular incisor intrusion. Am J Orthod Dentofacial Orthop 2007 Aug;132:143.e9-13.
13. Murakami T, Yokota S, Takahama Y. Periodontal changes after experimentally induced intrusion of the upper incisors in Macaca fuscata monkeys. Am J Orthod Dentofacial Orthop 1989;95:115–26.
14. Alexander SA. Effects of orthodontic attachments in the gingival health of permanent second molars. Am J Orthod Dentofacial Orthop 1991;100:337–40.
15. Demling A, Heuer W, Elter C, Heidenblut T, Bach W, Schwestka-Polly R , Stiesch-Scholz M. Analysis of supra- and subgingival long term biofilm formation on orthodontic bands. Eur J Orthod 2009;31:202–6.
16. Ristic M, Svabic MV, Sasic M, Zelic O. Effects of fixed orthodontic appliances on subgingival microflora. Int J Dent Hyg 2008;6:129–36.
17. Bassarelli T, Melsen B. Expansion: how much can the periodontium tolerate?. Clin Orthod Res 2001;4: 235-41.
18. Engelking G, Zachrisson BU. Effects of incisor repositioning on monkey periodontium after expansion through the cortical plate. Am J Orthod 1982;82: 23–32.
19. Çınar VS. Adolesan dönemdeki bireylerde yapılan rapid palatal ekspansiyon (RPE) ile erişkin bireylerde yapılan kortikotomi destekli RPE sonrası görülen değişikliklerin incelenmesi, Doktora Tezi. H Ü Sağlık Bilimleri Enstitüsü, Ankara. 2006.
20. B. Periodontal Response After Tooth Movement
21. Into Intrabony Defects. J Periodontol 1984, 55.4: 197-202.
22. Boyd R, Leggott PJ, Quinn RS, Eakle WS, Chambers D. orthodontic treatment in adults with reduced or normal periodontal tissues versus those of adolescents. Am J Orthod Dentofacial Orthop 1989;96:191-8. implications of
23. Mathews DP, Kokich VG. Managing treatment for the orthodontic patient with periodontal problems. Semin Orthod 1997;3:21-38.
24. Lee K.J, Joo E, Yu HS, Park YC. Restoration of an alveolar bone defect caused by an ankylosed mandibular molar by root movement of the adjacent tooth with miniscrew implants. Am J Orthod Dentofacial Orthop 2009;136:440-9.
25. Salama H, Salama M. The role of orthodontic extrusive remodeling in the enhancement of soft and hard tissue profiles prior to implant placement: a systematic approach to the management of extraction site defects. Int J Periodontics Restorative Dent 1993 ;13:312-33.
26. Reitan K. Effects Of Force Magnitude And Direction Of Tooth Movement On Different Alveolar Bone Types. Angle Orthod 1964; 34: 244-55.
27. Reitan K. Clinical and histologic observations on tooth movement during and after orthodontic treatment. Am J Orthod 1967;53:721-45.
28. Kocadereli İ, Akcan CA. Ortodonti-Periodontoloji İlişkileri In: Çağlayan G. Periodontoloji Hacettepe Üniversitesi Basımevi 1.basım 2010; 421-42.
29. Young L, Binderman I, Yaffe A, Beni L, Vardimon AD. Fiberotomy enhances orthodontic tooth movement and diminishes relapse in a rat model. Orthod Craniofac Res 2013; 16:161-8
30. Kokich VG. Esthetics: The orthodontic-periodontic restorative connection. Semin Orthod 1996;2:21- 30.
31. Kokich VG. Excellence in finishing: modifications for the perio-restorative patient. Semin Orthod 2003;9:184-203.
32. Kurth JR, Kokich VG. Open gingival embrasures after orthodontic treatment in adults: prevalence and etiology. Am J Orthod Dentofacial Orthop 2001;120:116–23.
33. Vig R, Brundo G. The kinetics of anterior tooth display. J Prosthet Dent 1978;39:520–4.
34. Konikoff BM, Johnson DC, Schenkein HA, Kwatra N, Waldrop TC. Clinical crown length of the maxillary anterior teeth preorthodontics and postorthodontics. J Periodontol 2007;78:645–53.
35. Theytaz GA, Kiliaridis S. Gingival and dentofacial changes in adolescents and adults 2 to 10 years after orthodontic treatment. J Clin Periodontol 2008;35:825–30.
36. Lapatki BG, Mager AS, Schulte-Moenting J, Jonas IE. The importance of the level of the lip line and resting lip pressure in Class II, Division 2 malocclusion. J Dent Res 2002;81: 323–8.
37. Sarver DM, Ackerman MB. Dynamic smile visualization and quantification: part 1. Evolution of the concept and dynamic records for smile capture. Am J Orthod Dentofacial Orthop 2003;124:4–12.
38. Polo M. Botulinum toxin type A (Botox) for the neuromuscular correction of excessive gingival display on smiling (gummy smile). Am J Orthod Dentofacial Orthop 2008; 133:195–203.