Viglianisi Gaia, Polizzi Alessandro, Lombardi Teresa, Amato Mariacristina, Grippaudo Cristina, Isola Gaetano
Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, 95124 Catania, Italy.
Department of Health Sciences, University Magna Græcia, 88100 Catanzaro, Italy.
Bioengineering (Basel). 2025 Jan 9;12(1):49. doi: 10.3390/bioengineering12010049.
Orthodontic treatment aims to correct malocclusions and ensure the overall health and stability of the periodontium. The relationship between orthodontic therapy and periodontal health is intricate and multifaceted, and a comprehensive approach is often required to achieve optimal outcomes. Firstly, this article delves into the impact of orthodontic mechanics on periodontal tissues, emphasizing the importance of minimizing iatrogenic effects such as root resorption and gingival recession. Understanding the biomechanical principles allows for the development of treatment plans that mitigate these risks while achieving the desired tooth movement. Effective communication and coordinated treatment protocols are essential for managing periodontal issues before, during, and after orthodontic intervention. To optimize outcomes, periodontal considerations such as gingival biotype, attachment levels, and bone support must be integrated into treatment planning. Additionally, adjunctive periodontal therapies such as selective alveolar decortication and regenerative procedures are explored as valuable tools to enhance periodontal support and optimize treatment outcomes. This narrative review explores strategies to attain periodontal goals in orthodontic patients, thereby facilitating successful treatment. Furthermore, the review examines the role of interdisciplinary collaborations between orthodontists and periodontists. In conclusion, achieving periodontal goals in orthodontic patients requires a comprehensive approach that addresses biomechanical principles, interdisciplinary collaboration, patient education, and adjunctive periodontal therapies. By integrating periodontal considerations into orthodontic treatment planning and execution, clinicians can ensure straight teeth and a healthy and stable periodontium, ultimately leading to successful treatment outcomes and long-term oral health.
正畸治疗旨在矫正错牙合畸形，确保牙周组织的整体健康和稳定。正畸治疗与牙周健康之间的关系复杂且多方面，通常需要采用综合方法才能取得最佳效果。首先，本文深入探讨正畸力学对牙周组织的影响，强调尽量减少诸如牙根吸收和牙龈退缩等医源性影响的重要性。理解生物力学原理有助于制定治疗计划，在实现理想牙齿移动的同时降低这些风险。有效的沟通和协调的治疗方案对于在正畸干预之前、期间和之后处理牙周问题至关重要。为了优化治疗效果，牙龈生物型、附着水平和骨支持等牙周因素必须纳入治疗计划。此外，选择性牙槽骨皮质切开术和再生手术等辅助性牙周治疗方法被视为增强牙周支持和优化治疗效果的宝贵手段。本叙述性综述探讨了在正畸患者中实现牙周目标的策略，从而促进治疗成功。此外，该综述还研究了正畸医生和牙周医生之间跨学科合作的作用。总之，在正畸患者中实现牙周目标需要一种综合方法，该方法要涉及生物力学原理、跨学科合作、患者教育和辅助性牙周治疗。通过将牙周因素纳入正畸治疗计划和实施过程中，临床医生可以确保牙齿整齐以及牙周健康稳定，最终实现成功的治疗效果和长期的口腔健康。
