Risks Associated with Orthodontic Treatment

root resorption

what risk of orthodontic treatment:

- One of the biggest risks of orthodontic treatment

- pathologic process where the root of a tooth resorbs due to orthodontic forces

- This is a progressive process that will continue as long as orthodontic forces are applied

- does not heal

- Orthodontic forces cause resorption of roots in ALL patients

- It is not the process, but the severity in certain patients that is problematic

- ceases completely when orthodontic forces are removed

- There are currently few accurate pre-treatment predictors of susceptible patients

no

does root resorption heal

yes

do orthontic forces call root resorption in all patients

mild

what severity of root resorption:

•Very common

•Usually rounded off tips

•Rarely a problem

moderate

what severity of root resorption:

•Requires immediate attention

severe

what severity of root resorption:

•You should have caught this earlier

high

Pointed or tapered apices have a ..... tendency to "round off" during treatment

traumatized

A previously ..... tooth is at higher risk for root resorption

intrusion; heavy

..... and .... forces are associated with a greater risk for root resorption

6; 12

to monitor root resorption, Take a progress pan ..... months post bonding and then one every .... months after

white spot lesions

what risk of orthodontic treatment:

• Decalcified areas of enamel that tend to occur around orthodontic brackets

• Can develop into cavitated carious lesions if severe

• Caused by poor oral hygiene during orthodontic treatment

• NOT caused by orthodontic treatment

• 100% preventable with good oral hygiene

• Patient education is key

2-3

fluoride varnish can be applied every .... months during active orthotreamtent to help prevent white spot lesions

plus

only the .... version of MI Paste contains fluoride and thus is useful in the post bracket removal to help reduce the severity of white spot lesions

resin infiltration

...... is designed to arrest the progression of non-cavitated lesions (including white spot lesions)

no

is there a correlation between orthodontic treatment and gingival recession

expansion

The only correlation found was with ....., but the recession effects were insignificant

no

is there an association between orthodontic treatment or malocclusion with TMD

gingival fibers

After orthodontic treatment, .... can apply orthodontic pressure to teeth and cause relapse