Dental Journal of Advance Studies

Mandeep Kaur Bhullar ¹, Amandeep Singh Uppal ², Ashutosh Nirola ³, Mandeep Kaur Bhullar ¹

Affiliations
1 Department of Orthodontics and Dentofacial Orthopedics, Luxmi Bai Dental College and Hospital, Patiala, Punjab, IN
2 Dept. of Conservative Dentistry and Endodontics, HSJ Institute of Dental Sciences & Hospital, Panjab University, Chandigarh, IN
3 Dept. of Periodontics, Luxmi Bai Dental College and Hospital, Patiala, Punjab, IN

Abstract

In the last years, a significant development has taken place in the orthodontic treatment of adult Patients. Adult orthodontics is different than that for children because in adults there is virtual no more growth and because there are changes in the tooth supporting structures: the periodontium. The orthodontic treatment is carried out through the medium of periodontium so a healthy tooth supporting system is the essential prerequisite for carrying out the orthodontic treatment. At the same time, as the tooth is moving under the effect of orthodontic force, various changes occur in the periodontium under the effect of force. So, it is important that the orthodontic treatment is periodontally compromised patient be considered separately as they are more prone to further bone loss; the reduced periodontium cannot sustain further loss without the potential loss of teeth. The reduced periodontal support dictates altered treatment design, mechanics and retention. At the same time it is important to consider the limits of periodontium while carrying out orthodontic treatment so that there is no damage due to inadvertent intervention.

Keywords

Center of Resistance, Loss of Alveolar Bone Height, Optimal Force, PDL Attachment Area, Tipping Moment.

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Ashutosh Nirola ¹, Shallu J. Bhardwaj ¹

Affiliations
1 Dept. of Periodontology and Oral Implantology, Luxmi Bai Institute of Dental Sciences and Hospital, Patiala, Punjab, IN

Abstract

Edentulism is most often the result of repeated tooth extraction from combined pathological process and/or dental trauma. Dental implants have emerged to be a highly successful and predictable treatment modality for replacement of missing teeth. Dental implants are the devices that are surgically inserted into the jaw bone to support a single prosthetic tooth and serve as abutments or as cosmetic replacements for missing teeth. Timing of implant placement following tooth removal may be important and this concept has challenged the original treatment protocol. This article aims to present two case reports of immediate placement of implant.

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