A description of the necessary steps the orthodontist must take prior to considering orthodontic treatment of the patient with periodontal disease including history and mandatory records will be outlined. The role of the periodontist in diagnosis, treatment of the disease, and maintenance during orthodontic treatment will be described. The malocclusions caused by the disease, the treatment procedures, goals of treatment, and retention will be described. Four cases followed over many years will illustrate the long-term success or failure of combined orthodontic/periodontal treatment. Finally, periodontal maintenance of compromised teeth verses implant replacement will be evaluated.
Prepare the orthodontist with the necessary knowledge to undertake successful orthodontic treatment of the patient with periodontal disease.
Evaluate the necessary records, the role of informed consent the role of the periodontist, and the unique treatment approach required for these patients.
Identify the limitations and advantages of long-term periodontal maintenance verses implant replacement.