Periodontic and orthodontic treatment in adults

Corticotomy-assisted molar protraction with the aid of temporary anchorage device

“…4,5 In the adult patient, there is reduced cellular activity and increased bone density, and hyalinized zones are formed more readily on the pressure side, thereby reducing the tooth movement and increasing treatment duration. 6 To reduce the treatment time, different treatment approaches have been reported with some degree of success in animal and clinical studies. Some of these procedures include use of lasers 7 or electrical stimulation, 8 vibration, 9 corticision, 10 piezoincision, 11 corticotomies, 12 and osteotomies.…”

Periodontally Assisted Osteogenic Orthodontic: Journey from Past to Present- a review

“…Now a days increasing number of adult patient come for Orthodontic treatment who wants their braces off as early as possible [1].Growth is almost an insignificant factor in adults compared with children. In addition, there is an increased chance of hyalinization that can occur in adults when compared with adolescents [2]. All these factors make adult Orthodontic treatment a challenging therapeutic modality in dentistry, which necessitates the need for improvised concepts and procedures for the purpose of creating a functional dentition in a healthy periodontal environment.…”

Risk factors for periodontal changes in adult patients with banded second molars during orthodontic treatment

“…2 The number of adult patients in treatment increased significantly during the 1980s, 4,5 bringing with it malocclusions with their attendant age limitations 6 and various aggravating periodontal conditions, ranging from lesions on one single tooth surface to generalized periodontal disease. 2,4,5 However, it has been argued that age is not in itself a contraindication for orthodontic treatment 4 because adult patients, in certain situations, may exhibit less plaque build-up and gingival inflammation than adolescents. 6 Various factors have been suggested to explain these observations, such as the larger size of the clinical crown of adult teeth resulting from passive eruption, which allows brackets to be positioned farther away from the gingival margin.…”

“…2,7,14 Gingivitis, especially in the region of the interdental papilla, has been observed in teeth banded for orthodontic purposes. 4,15 These have been associated with higher plaque rates, 3,7,9,14 gingival rates 3,7,9,11,[16][17][18] and probing depth, 3,7,10,11,17,18 more often than in patients with bonded brackets or no orthodontic appliance. 7,11,16 However, apparently gingival reactions are transient, and they do not cause permanent damage to periodontal tissues; rather, cases are rapidly resolved and treatment completed.…”