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Review
. 2012 Jul-Aug;20(4):399-403.
doi: 10.1590/s1678-77572012000400002.

Guidelines for periodontal care and follow-up during orthodontic treatment in adolescents and young adults

Liran Levin  1 , Shmuel Einy, Hadar Zigdon, Dror Aizenbud, Eli E Machtei
Affiliations
Review

Guidelines for periodontal care and follow-up during orthodontic treatment in adolescents and young adults

Liran Levin et al. J Appl Oral Sci. 2012 Jul-Aug.

Abstract

Aggressive periodontitis is characterized by non-contributory medical history, rapid attachment loss and bone destruction and familial aggregation of cases. Aggressive periodontitis (both localized and generalized) is usually diagnosed in a young population. This is frequently the age that an orthodontic care is provided to this population. The aim of the present paper is to draw guidelines for periodontal evaluation and monitoring prior to and during active orthodontic treatment. Strict adherence to these guidelines as a routine protocol for periodontal examination prior, during and following orthodontic treatment may dramatically decrease the severity and improve the prognosis of patients with aggressive periodontitis in orthodontic clinics.

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Figures

Figure 1
Figure 1
a) A panoramic view of an 11-year-old boy performed prior to orthodontic treatment; b) and c) Three years later, following orthodontic treatment, clinical presentation revealed intense gingival redness and swelling; d) Bitewing radiographs reveal marked bone loss. This rapid bone loss is pathognomonic for aggressive periodontal disease; e) Intraoperative view of one of the sextants, demonstrating the accentuated bone loss
See this image and copyright information in PMC

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