Department of Orthodontics, School of Dentistry, University of Athens, Athens, Greece.
J Oral Rehabil. 2010 May 1;37(5):377-90. doi: 10.1111/j.1365-2842.2010.02068.x. Epub 2010 Feb 25.
Orthodontic treatment aims at providing an acceptable functional and aesthetic occlusion with appropriate tooth movements. These movements are strongly related to interactions of teeth with their supportive periodontal tissues. In recent years, because of the increased number of adult patients seeking orthodontic treatment, orthodontists frequently face patients with periodontal problems. Aesthetic considerations, like uneven gingival margins or functional problems resulting from inflammatory periodontal diseases should be considered in orthodontic treatment planning. Furthermore, in cases with severe periodontitis, orthodontics may improve the possibilities of saving and restoring a deteriorated dentition. In modern clinical practice, the contribution of the orthodontist, the periodontist and the general dentist is essential for optimized treatment outcomes. The purpose of this systematic review is to highlight the relationship between orthodontics and periodontics in clinical practice and to improve the level of cooperation between dental practitioners. Potentials and limitations that derive from the interdisciplinary approach of complex orthodontic-periodontal clinical problems are discussed.
正畸治疗旨在通过适当的牙齿移动提供可接受的功能和美学咬合。这些运动与牙齿与其支持性牙周组织的相互作用密切相关。近年来，由于寻求正畸治疗的成年患者数量增加，正畸医生经常会遇到有牙周问题的患者。在正畸治疗计划中，应考虑美观因素，如牙龈边缘不均匀或由炎症性牙周疾病引起的功能问题。此外，在严重牙周炎的情况下，正畸治疗可能会增加改善恶化牙齿的可能性。在现代临床实践中，正畸医生、牙周医生和普通牙医的贡献对于优化治疗效果至关重要。本系统评价的目的是强调临床实践中正畸与牙周的关系，并提高牙科医生之间的合作水平。讨论了源于复杂正畸-牙周临床问题的跨学科方法的潜力和局限性。
