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Interrelationship of Othodontics and Periodontics and Restorative Dentistry Interrelationship of Othodontics and Periodontics and Restorative Dentistry

Author(s):

Vincent G. Kokich, Sr., DDS, MSD;Vincent O. Kokich

Date Added:

1/1/0001


Summary:

Today, orthodontics is not just for children and adolescents. For the past two decades, increasing numbers of adults have been referred to orthodontists to correct their malocclusions. Adults are usually wonderful patients, because they are cooperative, clean their teeth, show up for appointments, and are appreciative of the clinician's efforts. However, adults may have problems other than malposed teeth and jaws that make their onhodontic treatment more challenging. Whereas children and adolescents have intact dentitions with few restorations and a healthy periodontium, adults may have old failing restorations, edentu lous spaces. abraded teeth. pcriodontnl bone defects, gingival level discrepancies, hopeless teeth, and a variety of other restorative and periodontal problems that could compromise the orthodontic result. In the past, orthodonlists made all the decisions about the treatment plan for a child or adolescent. However, in the compromised adult malocclusion, a team of orthodontist, oral and maxillofacial surgeon, periodontist, endodontist, and restorative dentist must interact to make prudent treatment decisions for the patient. This article will elucidate the dilemmas encountered in the orthodontic patient with multidisciplinary problems, and describe a series of 10 guidelines to help manage the interrelalionship of orthodontics with periodontics and restorative dentistry.

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