Periodontics: A Complement To Orthodontics

Periodontics A Complement To Orthodontics

The periodontium is the set of supporting tissues of the teeth. Its etymology comes from the Greek para meaning “around” and odontos (tooth). It consists of all of the tissue that surrounds and supports the teeth. He understands:

  • the alveolar bone (A) of the maxilla (upper jaw) and mandible (lower jaw),
  • the periodontal (L) or dento-alveolar ligament which unites the root of the tooth to the alveolar bone which surrounds it,
  • the attached gum (G) is securely attached to the jaw bone and tooth. A minimum quantity is required to ensure the stability of the teeth,
  • the mucosa (M) is a more fragile type of gum that is mobile and not attached to the jaw bone or tooth,
  • the cementum, which is the outer layer of the dental roots,
  • nerve elements (periodontal receptors or proprioceptors, nerve fibers) and blood vessels (arterioles, venules), which are located in the soft tissue and the space occupied by the ligament between the root and the bone.
  • healthy periodontium has a specific level of gum that surrounds, covers, and protects the tooth. The arrow indicates an area of gingival recession where the level of gum has decreased and exposes part of the root.
  • A healthy gum is pale pink, firm and looks like an “orange peel.” She should not have edema, inflammation, bleeding, or ulceration.

The role of the periodontium is multiple. Not only does it support the tooth with the underlying alveolar bone, but it helps to reshape the structures subjected to forces (for example, during the application of orthodontic forces), function and age, and provides an effective barrier defense against multiple microorganisms in the oral cavity. Its integrity is essential for good dental health and dental movements during orthodontic treatment.

  • The periodontium is of crucial importance in orthodontics because it must be healthy, intact, and of the best possible quality to allow the displacement of multiple teeth during orthodontic treatment.
  • Its structures are fragile and easily damaged if inadequate forces are used. Also, poor oral hygiene can damage or destroy its components and make it impossible to move normal teeth.
  • The quality of the periodontium can vary from one person to another, and its evaluation considers the quality and quantity of the tissues present. Heredity plays an important role in determining the type of tissue in an individual.
  • The gum consists of a keratinized epithelial tissue and collagen fibers which attach the gum to the alveolar bone and the cementum of the tooth (attached gum). This gives it resistance to masticatory stresses.

Despite the severity of the malocclusion and periodontal problems affecting individuals. Orthodontic treatment may be possible. This requires an interdisciplinary approach and regular follow-up with a periodontist during treatment. 


What to Do In Case Of Gingivitis?

Your role is essential to limit or even stop the progression of gingivitis. Quality oral hygiene and follow-up are essential. Here are some tips to curb the development of gum disease.

This will prevent gingivitis from progressing to periodontitis:

What to Do In Case Of Gingivitis
  • As soon as the first symptoms of gingivitis appear , do not wait; make an appointment with your dentist who will refer you, if necessary, to a dentist specializing in the management of gum disease.
  • Respect the rhythm of scheduled consultations and care, even if you no longer have symptoms.
  • Between treatments, monitor the appearance of your teeth and gums: each time you brush, you can look at your teeth and gums yourself. Check for the absence of dental plaque (it is characterized by a white, pasty deposit on the teeth. It is thicker at the base, near the gums) and tartar (it is a hard dental deposit under the tongue). If the signs of gingivitis reappear despite treatment, it may be useful to consult again.
  • Adopt good oral hygiene to avoid the formation of dental plaque. If your gums are bleeding , you should not stop brushing your teeth, on the contrary. On the other hand, do it more delicately using a soft toothbrush and make mouthwashes with an antimicrobial product at least once a day. Consult your pharmacist.
  • Stop smoking: tobacco is an aggravating factor for gum disease . It intervenes as well in the appearance, as in the progression of the disease. This is why stopping smoking is strongly recommended.
  • Eat a healthy diet: a balanced diet without snacking contributes to good general and oral health. Remember that bacteria in dental plaque like sweet products.
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If you want a beautiful smile, then keep your teeth clean as healthy teeth assure healthy you and a beautiful smile.

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