Have periodontal disease, periodontitis can not correct teeth, do orthodontics

Have periodontal disease, periodontitis can not correct teeth, do orthodontics

Periodontal disease refers to chronic, nonspecific, infectious diseases that occur in tooth supporting tissues (including gingiva, periodontal ligament, alveolar bone, and cementum). Someone often asks: "Doctor, will my teeth become loose?"

In fact, the biggest reason for loose teeth is that the bones around the teeth have absorbed. The reason for the absorption is that the periodontal health in the oral cavity has not been well maintained.

The relationship between periodontal disease and orthodontics is often inseparable

1. Before orthodontic treatment

Some patients have very thin alveolar bone before orthodontics, which requires doctors to carefully screen, evaluate the health of the periodontal and formulate

 countermeasures, including the microbial situation in the oral cavity, the thickness of the alveolar bone, etc., to ensure maximum Treatment safety and quality. 

Of course, patients themselves don’t have to be too anxious about periodontal problems. Orthodontic specialists will work with periodontal specialists through joint treatment to align the teeth 

and make the face beautiful while at the same time thickening the gums and alveolar bone, and finally achieving Healthy, good orthodontic treatment results.

At present, adult orthodontic movement of periodontal supporting tissue healthy teeth will not cause further periodontal damage. Elimination of inflammation is

the first priority before orthodontic treatment starts to move affected teeth. The level of inflammation control can be determined from clinical periodontal

examination indicators A probing depth of less than 4 mm and a bleeding index of less than 3 are required.

2. During orthodontic treatment

The maintenance of oral hygiene in the process of correction cannot be overemphasized. As long as the oral hygiene can be well controlled, orthodontic treatment can proceed normally. 

Many patients brush their teeth incorrectly, the brushing is not clean, and there are some plaques on the periodontal ligament and on the teeth. Faced with this situation, 

it is recommended that patients bring a toothbrush when they return to the clinic, and "trial brush" and "correct" brushing methods on the spot. At the same time, 

I hope they can share the correct maintenance concept and tooth brushing method with the whole family. We always believe that a good tooth brushing habit will benefit us for life. 

At the same time, our orthodontists need to evaluate the periodontal condition of the patient in a timely manner, and can perform periodontal treatment if necessary in the middle 

of the treatment to ensure safe and effective tooth movement.

3. After orthodontic treatment

After the end of orthodontic treatment, the orthodontist needs to re-evaluate the periodontal condition of the patient. 

Reasonable selection of orthodontic appliances will help patients maintain effective and reliable treatment. For patients with normal periodontal conditions and mild receding gums, 

we often use a pressure film retainer to trim the undercuts in the retainer to prevent shaking during tooth extraction. For patients with poor periodontal conditions,

 we may glue a thin lingual wire on the lingual side of the tooth and add a lip retainer to add a "protective cover" to the patient's teeth.

It should be noted that the removal of the appliance is not the end of the orthodontic treatment, and the maintenance of the periodontal condition needs to be monitored 

for a long time during the orthodontic maintenance process.