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Aligners for Periodontal Patients

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작성자 Federico 댓글 0건 조회 6회 작성일 25-10-08 21:55

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Invisalign and similar systems can be appropriate for patients with periodontal concerns, but they require detailed strategy and regular follow-ups. Gum disease impacts the gums and bone that support the teeth, and without adequate control, ارتودنسی_شفاف orthodontic movement can worsen the condition. Before starting any aligner treatment, it is essential that the patient has stable periodontal health. This means active gum disease must be treated and controlled, often through deep cleaning and debridement, and sometimes periodontal surgery. Patients should be under the regular care of a periodontist or hygienist throughout the orthodontic process.


Once periodontal health is achieved, aligners offer notable benefits. Unlike traditional braces, aligners are easily taken out, which allows patients to achieve superior plaque control. Daily cleaning is significantly simplified without brackets and wires, reducing biofilm accumulation that triggers gingival irritation. The gentle, controlled movement provided by aligners can also be less traumatic to already compromised periodontal tissues when compared to the unrelenting force from brackets and wires.


However, not all periodontal cases are suitable for aligners. Patients with extensive alveolar resorption, degree III mobility, or inadequate root coverage may not be good candidates. In these cases, orthodontic movement could lead to progressive displacement and potential exfoliation. A comprehensive diagnostic workup with radiographic, probing, and visual analysis is necessary to determine eligibility.


Treatment planning must be customized. The orthodontist and periodontist should work together to set prudent objectives. Movement should be gradual and deliberate, with periodic evaluations of pocket depth and bleeding on probing. Patients must be highly compliant with wearing their aligners as prescribed and maintaining rigorous daily cleaning protocols. Any sign of gingival inflammation, redness, or probing depth progression during treatment should trigger an immediate review.


In summary, aligners can be appropriately applied for patients with periodontal concerns if the disease is successfully stabilized and the treatment is closely monitored. The key to success lies in collaboration between dental professionals, active patient participation in hygiene protocols, and a minimal-force orthodontic philosophy. For the suitable patient, aligners can improve both cosmetic appearance and periodontal stability.

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