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Improving Patient Outcomes With a Multidisciplinary Approach

In many clinical scenarios that require correction of malocclusion or misaligned dentition, a multidisciplinary approach involving orthodontics and periodontal therapy can have favorable outcomes. The intricate relationship between these two disciplines has been heavily researched in recent years. Sound periodontium is ideal so orthodontic treatment does not become deleterious and promote periodontal diseases. Studies have indicated positive outcomes for combined nonsurgical periodontal therapy in conjunction with orthodontic treatment.

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Orthodontic treatment is based on the principle that forces applied to teeth produce stresses on the periodontal ligament and, in turn, induce bone remodeling, which results in tooth movement.

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Periodontal diseases need not be controlled before performing orthodontic treatment.

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In patients with partially edentulous dentitions and reduced vertical bone height, orthodontic bodily tooth movement into constricted bone areas may be a possibility for space closure. 

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Orthodontic treatment is justified as a part of periodontal therapy if used to reduce which of the following?

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Various orthodontic appliances can be placed to produce orthodontic extrusion and contribute to treating localized periodontal diseases.

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Periodontally accelerated osteogenic orthodontics has become more popular recently, partly due to the increase in adult orthodontic therapy.

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When performed prior to applying orthodontic forces, various periodontal surgical options can prevent future attachment loss. 

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Improving Patient Outcomes With a Multidisciplinary Approach
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This information is from the article “Considering Combined Orthodontic-Periodontic Treatment” by Apoorv Goel, BDS, MS, MSD; Kameila S. Nedd, BS; Aierress C. Hanna, MHS; Justin J. Villanueva, DMD, MSD, DHL; and Ankur Gupta, BDS, MDS . To read the article, click here.

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