Orthodontic Treatment for Patients with Gum Disease: A Step-by-Step Guide for Dentists”
When treating orthodontic patients with a history of gum disease, it’s crucial to follow a structured, phased approach to ensure their oral health is stabilized and protected. Here’s a quick guide:
1. Phase 1: Emergencies & Infection Control - Start with managing any immediate concerns like infections and periodontal emergencies.
2. Phase 2: Disease Control - Focus on decay and disease control to create a stable foundation. This phase involves treatments to stop gum disease progression before moving forward.
3. Phase 3: Fixed Restorations - Once disease control is achieved, consider fixed restorations like crowns, bridges, or implants, which may involve some orthodontic work to prepare the space.
4. Phase 4: Advanced Aesthetics & Ortho - For patients with controlled periodontal health, advanced treatments like full orthodontics, Botox, and fillers can be considered to enhance aesthetics and functionality.
Remember, for patients with a history of gum disease, consult a periodontist to ensure the disease is well-managed before initiating orthodontics. Maintaining a multi-phase treatment approach is key to delivering safe, effective outcomes for patients with past or present periodontal issues.”
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