Recent literature has indicated that small but significant overall periodontal liability occurs with fixed appliances during orthodontic treatment. However, many clinical studies of Dr. Boyd's and others indicate that these problems can be overcome almost completely with the use of established preventive dentistry measures employed before, during, and after orthodontic treatment in children, adolescents, and adults. The key role of the staff will be emphasized in achieving this goal. Also, studies of fixed appliances versus clear, removable orthodontic appliances will be reviewed to determine if there are periodontal differences between these appliances. This information will be given in light of recently published studies concerning overall health and its relationship to periodontal disease.
Understand the etiology of potential damaging effects from periodontal disease such as bone loss, gingival recession, decalcification, root resorption that can occur during orthodontic treatment as well as the relationship between general health and active periodontal disease.
Understand any differences in periodontal health between fixed appliances and clear, removable appliances.
Implement an effective preventive program for orthodontic practices emphasizing the key role of staff to accomplish this.