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Dr.

Megha chowdhari
SLM no-10406
Ortho Scars- Undesirable memories
Orthodontic therapy apart from its benefits also has potential risks and limitations in terms of tissue damage. All potential risks
and limitations should be considered and addressed when making decision to undergo orthodontic treatment.

Root resorption
Effects on Crown

Overall prevalence
among orthodontic Decalcification Enamel wear
patients - 2 to 96% Seen during
The teeth most debonding of
commonly affected - brackets Some amount of root
molars, max. lateral Enamel
resorption is inevitable.
Caries
incisors , maxillary & Fracture Cause: :excessive force and
mandibular canines and hyalinization of the periodontal
premolars.
ligament results in excessive
activity of cementoclasts and
Ill fitting
band caused osteoclasts.
caries on surface of
tooth
Ortho Scars- Undesirable memories
PERIODONTAL TISSUES
GINGIVAL
INTERDENTAL FOLD OVERGROWTH

Compressed gingiva in extraction Lacerations to the gingivae and oral mucosa


may present as ulceration or hyperplasia.
sites may produce a long-lasting
epithelial tissue fold most frequently
on the buccal aspect of mandibular
first premolar extraction sites

GINGIVAL RECESSION
Dehiscence : BONE LOSS-
usually seen in
An extension of plaque and
labial movement
Labial movement of Inflammatory process
of teeth that need
mandibular incisors subgingivally leads to
not be
may result in Marginal bone loss. Greater
accompanied by
gingival recession marginal bone loss seen in
loss of CT
maxilla
attachment
Ortho Scars- Undesirable memories
• Oral hygiene instruction essential in all cases
• Use of sonic electric toothbrushes, interproximal brushes,
chlorhexidine mouthwashes, fluoride mouthwashes
1. • Regular professional cleaning

• Use of dental wax over the bracket may reduce trauma


and discomfort
2. • Rubber tubing on the unsupported archwire.

Perforation, Risk of bony defects /soft tissue


• orthodontic treatment should begin as early as possible
damage since there is less root resorption in developing roots and
young patients show better muscular adaptation to
3. occlusal changes.

Make a mark through your treatment but not an unfortunate one!!


Reference-
1. Campbell PM. Enamel surfaces after orthodontic bracket debonding. The Angle Orthodontist. 1995 Apr;65(2):103-10.
2. Reddy, Vinay & Vasudevan, Vijeev & Gowri sankar, Singaraju & Virupakshappa, Arun & Mahendra, S & Khalid, Mohammed. (2012). Orthodontic Scars.
JIAOMRJournal of Indian Academy of Oral Medicine and Radiology,. 24. 217-222. 10.5005/jp-journals-10011-1299.

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