Prevention of dental caries and periodontal disease in Orthodontics: a indispensable necessity

Kelly Polido Kaneshiro OLYMPIO, Priscila Ariede Petinuci BARDAL, José Fernando Castanha HENRIQUES, José Roberto de Magalhães BASTOS

The orthodontic treatment involves proceedings, usually, made for a long time. At the moment of the appliance removal, desmineralizations have been often found under banded and bonded fittings, when there is no more cavitations and in the most of the times, neither periodontal tissue’s inflamation. To avoid this iatrogenesis, the general clinician or the expert and his staff must be really motivated and involved on the application of Preventive Odontology concepts in their patients or, at least, disposed to delegate this important task to someone able to do it. There are simple methods to evaluate the potential of the patient’s compliance with the proposed treatment, even before its beginning and keeping this patient under acceptable levels of oral health such as: visio-auditory resources, to motive the patients; positive reinforcements; supervisioned toothbrushing realization; interdental cleaning; hygiene, oral health and diet maintenance instructions; besides the use of several chemistry methods, when necessary, such as chlorexidine, fluoride and cetylpyridinium cloride, despite the fact of considering different kinds of orthodontics fittings and lutting agents. Taking the proper precautions, it’s possible to reach an acceptable functional and esthetical occlusion without letting the disease has a supporting role during and after orthodontic treatment finishing.

Keywords: Orthodontics. Dental caries. Periodontitis. Plaque control. Prevention.

Friday, May 03, 2024 21:43