Perio-Ortho Synergy-Perio-Ortho Synergy

Video Transcription

Video Summary

Dr. Poppy presented a webinar on the collaborative treatment of periodontal and orthodontic patients. She emphasized that patients with periodontal disease can still receive orthodontics, but only after disease control and stabilization. Using a case study of “Sarah,” she showed a stepped approach: comprehensive exam, scaling and root planing, re-evaluation, extraction of hopeless teeth, and periodontal surgery such as osteosurgery and bone grafting when pockets remained deep. Once periodontal health was stable, orthodontic treatment was completed successfully.<br /><br />She then reviewed soft tissue grafting before, during, or after orthodontics. The key decision factors are tissue phenotype, amount of keratinized gingiva, recession risk, and direction of tooth movement. Facial tooth movement outside the alveolar housing increases recession risk, while lingual movement may improve tissue levels. She explained when to use connective tissue grafts, free gingival grafts, xenografts, and allografts, along with healing timelines and expected outcomes.<br /><br />Additional topics included frenectomies, gingivectomies, and surgically facilitated orthodontic treatment (SFOT). She concluded with implant-related interdisciplinary cases and stressed that successful outcomes depend on infection control, careful planning, maintenance visits, and close perio-ortho collaboration.

Asset Caption

Description This webinar presents the interconnection between orthodontics and periodontics, highlighting how these disciplines work together to enhance patient outcomes. Learning Objectives How integrating multiple specialties can offer personalized and effective treatment options for patients. The session will highlight alternative techniques and strategies to conventional dental practices, providing insights on enhancing patient outcomes through comprehensive care.

Keywords

periodontal disease

orthodontic treatment

soft tissue grafting

scaling and root planing

periodontal surgery

bone grafting

frenectomy

surgically facilitated orthodontic treatment

interdisciplinary collaboration