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Contribuição da ortodontia no tratamento da periodontite: abordagem terapêutica - revisão narrativa
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Abstract(s)
O objetivo desta revisão narrativa da literatura é mostrar as várias vantagens do tratamento ortodôntico e as condições necessárias para realizar este tipo de tratamento em pacientes com periodontite.
Foi efetuada uma pesquisa bibliográfica na base de dados PubMed. As palavras-chave utilizadas foram: ortodontia, periodontia, migração dentária, periodonto, combinadas em pares com o operador booleano «AND». Trinta e seis artigos entre os anos 1977 e 2021 foram selecionados. Também foram incluídos livros e artigos considerados pertinentes.
Pode-se concluir que o tratamento ortodôntico provou ser eficaz face às sequelas deixadas pela periodontite, quer na melhoria da estética, no maior controlo da placa bacteriana, bem como no potencial ganho ósseo nas áreas defeituosas.
O tratamento ortodôntico só deve ser realizado após a inflamação periodontal ter sido minimizada, com grande controlo das forças aplicadas e com máxima higienização oral. O não cumprimento destes requisitos originaria um aumento da destruição óssea.
The aim of this narrative literature review is to show the various advantages of orthodontic treatment and the conditions necessary to perform this type of treatment in patients with periodontitis A bibliographic search was carried out in the PubMed database. The keywords used were: orthodontics, periodontics, tooth migration, periodontium, combined in pairs with the Boolean operator «AND». Thirty-six articles between 1977 to 2021 were selected. Books as well as articles considered relevant have been included. It can be concluded that orthodontic treatment proved to be a valid therapy, given the sequelae left by periodontitis, either in improving esthetics, increasing the control of bacterial plaque, as well as the potential bone gain in defective areas. Orthodontic treatment should only be performed after periodontal inflammation has been minimized, with great control of the applied forces and with extreme oral hygiene. Failure to meet these requirements will lead to increased bone destruction.
The aim of this narrative literature review is to show the various advantages of orthodontic treatment and the conditions necessary to perform this type of treatment in patients with periodontitis A bibliographic search was carried out in the PubMed database. The keywords used were: orthodontics, periodontics, tooth migration, periodontium, combined in pairs with the Boolean operator «AND». Thirty-six articles between 1977 to 2021 were selected. Books as well as articles considered relevant have been included. It can be concluded that orthodontic treatment proved to be a valid therapy, given the sequelae left by periodontitis, either in improving esthetics, increasing the control of bacterial plaque, as well as the potential bone gain in defective areas. Orthodontic treatment should only be performed after periodontal inflammation has been minimized, with great control of the applied forces and with extreme oral hygiene. Failure to meet these requirements will lead to increased bone destruction.
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Keywords
Ortodontia Periodontia Migração dentária Periodonto Orthodontics Periodontics Tooth migration Periodontum