Summary of webinar: Power2Reason - Orthodontics in periodontally compromised patients: Morten Laursen

Conclusion

orthodontic treatment can achieve:

Risk of not factoring in periodontal disease

1. Increased force  =  root resorption

2. Increased force  =  loss of anchorage

3. Active disease  = increase loss of periodontal tissue

1/ Treatment protocol: Anterior intrusion with mini implants with TADs

· TAD Where

o Distal to canine

· TAD How

o Indirect ligation to canine bracket

· Biomechanics

o Absolute intrusion of 2-2 = 3mm

2/ Treatment protocol: Lingual root torque of incisor with Auxiliary torqueing archwire

· Attachments x 3

o 1st molars R and L

o Affected lower incisor

· BASE ARCHWIRE  - prevent AP and vertical changes to lower incisor

o 020 ss

· AUXILIARY ARCHWIRE

o 19x25TMA

o Down bend or RCOS  = lingual root torque

· Biomechanics

o Lingual root torque to lower incisor