SOFT TISSUE & PERIODONTAL CONSIDERATIONS DURING ORTHODONTIC

TREATMENT Drg. Andi Triawan

SOFT TISSUE & PERIODONTAL CONSIDERATIONS DURING

ORTHODONTIC TREATMENT
(JARINGAN LUNAK DAN PERTIMBANGAN PERIODONTAL SELAMA
PERAWATAN ORTHODONTI)
Drg.Andi Triawan
Orthodontic
Orthodontics is a specialty of dentistry that is concerned with the study
and treatment of malocclusions (improper bites), which may be a result of
tooth irregularity, disproportionate jaw relationships, or both.
Ortodontik ialah spesialisasi kedokteran gigi yang berkaitan dengan studi
dan perawatan malocclusions (gigitan yang tidak benar), yang mungkin
akibat dari ketidakteraturan gigi, hubungan rahang yang tidak proporsional,
atau keduanya.

POTENTIAL DAMAGE
Teeth = Caries, mobility, decalcification, apical root resorption
Gingiva = Pocket, gingivitis, periodontitis, resesif
Alveolar bone = Alveolar bone loss
Mucosa bucal = Ulcer, stomatitis
MAJOR COMPONENTS OF AN EFFECTIVE PREVENTIVE PROGRAM
1. Before orthodontic treatment
2. During orthodontic treatment
3. After orthodontic treatment
4. Before orthodontic treatment
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SOFT TISSUE & PERIODONTAL CONSIDERATIONS DURING ORTHODONTIC

TREATMENT Drg. Andi Triawan

a. initial diagnosis & referral

to control active periodontal disease & caries
- plaque, calculus, gingivitis, resesif gingiva
- bone loss, caries, torus palatinus, torus mandible, frenulum
b. informed consent risk during tx.
c. all general dental & perio. Tx complete
POTENSIAL KERUSAKAN
1. Gigi
Karies, mobilitas, dekalsifikasi, resorpsi akar apikal
2. Gingiva
Pocket, gingivitis, periodontitis, resesif
3. Tulang alveolar
Kehilangan tulang alveolar
4. Mukosa bucal
Maag, stomatitis
KOMPONEN UTAMA PROGRAM pencegahan yang efektif
1. Sebelum perawatan ortodonti
2. Selama perawatan ortodonti
3. Setelah perawatan ortodonti
4. Sebelum perawatan ortodonti
a. awal diagnosis & rujukan untuk mengendalikan penyakit periodontal aktif
& Karies
- Plak, kalkulus, gingivitis, resesif gingiva
- Keropos tulang, karies, palatinus torus, torus mandibula, frenulum
b. informed consent risiko selama tx.
c. semua gigi umum & Perio. Tx lengkap

torus palatinus

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SOFT TISSUE & PERIODONTAL CONSIDERATIONS DURING ORTHODONTIC

TREATMENT Drg. Andi Triawan

torus mandible

Frenulum lingualis

Frenulum labialis

Diastema krn frenulum labialis

Alveolar bone loss

2. During orthodontic treatment, Plaque is not a disease!
a. brushing instructions
b. check plaque removal
SUGGESTION DURING TX. FIXED
effectiveness
APPLIANCES
c. record plaque removal in patient
a. Use bonding molar tube
chart
b. Use single arch wires
d. use a positive reinforcement
c. Remove excess composite
approach
d. Avoid using lingual appliances
c. routine dental examinations
e. Use a positive reinforcement
d. use a chlorhexidine rinse tx. prn.
approach
f. Minimize the length of phase of
tx.
2. Selama perawatan ortodonti, Plak bukanlah penyakit!
a. instruksi menyikat
b. memeriksa efektivitas
penghapusan plak
c. penghapusan plak catat dalam
tabel pasien
d. menggunakan pendekatan
penguatan
positif
c. pemeriksaan gigi rutin
d. menggunakan tx klorheksidin bilas.

PRN/seperlunya

SARAN SELAMA TX. TETAP Appliances

a. Gunakan tabung bonding molar
b. Gunakan single arch wires
c. Hapus kelebihan komposit
d. Hindari pengaplikasian manual
e. Gunakan pendekatan penguatan
positif
f. Minimalkan panjang fase tx
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SOFT TISSUE & PERIODONTAL CONSIDERATIONS DURING ORTHODONTIC

TREATMENT Drg. Andi Triawan

Actual damage

Hiperplasia Gingivitis

Stomatitis / ulceration

Hiperplasia
3. After orthodontic treatment
a. removal an excess bonding
b. scalling
c. using a fluoride toothpaste
to promote remineralization
d. routine dental care
e. posttreatment report

3. Setelah perawatan ortodonti

a. penghapusan kelebihan bonding
b. scalling
c. menggunakan pasta gigi fluoride
untuk mempromosikan
remineralisasi
d. rutin perawatan gigi
e. posttreatment laporan

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