• 목록
• 답변
• 글쓰기
• 게시판 리스트 옵션
  • 수정
  • 삭제

Treatment for braces or aligners in patients with gum disease requires a careful and coordinated approach to ensure tooth positioning and periodontal stability are effectively controlled. Periodontal disease, which involves inflammation and destruction of periodontal ligaments and alveolar bone, can increase risk of treatment failure if inadequately managed. Prior to initiating orthodontic therapy, a thorough evaluation by a periodontist or gum specialist is essential. This includes evaluating radiographic bone levels, bleeding on probing, and tissue resilience.

Those with uncontrolled periodontitis should delay orthodontic intervention until their condition is in remission. This typically involves professional deep cleanings, improved at-home oral hygiene, and sometimes surgical interventions. Once the gums are healthy and stable, orthodontic treatment can commence under close supervision. The orthodontist must customize mechanics to preserve periodontal integrity. This may include using lighter forces, longer treatment intervals, and avoiding certain types of tooth movement that could exacerbate bone loss.

Regular monitoring by both the orthodontist and periodontist throughout treatment is critical. Patients must maintain excellent oral hygiene, as braces and aligners can make it harder to clean teeth thoroughly. Special tools such as interdental brushes, water flossers, and antimicrobial rinses may be strongly advised. Any signs of bleeding, swelling, 鐘ヶ淵 歯列矯正 or loosening teeth during treatment should be evaluated without delay.

Once active tooth movement has ended, retention is just as important as the movement phase. A well-fitted retainer helps stabilize alignment and support periodontal health. Lifelong periodontal maintenance is necessary to ensure the long-term stability of periodontal tissues and protect the investment in cosmetic and functional alignment.

Collaboration between the orthodontist and periodontist, along with the consistent personal responsibility for gum care, is the key to successful outcomes. With the well-executed, multidisciplinary plan, patients with periodontal concerns can gain beautiful, functional dentition while preserving periodontal integrity without jeopardizing tissue stability.