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Article: Volume 45 Number 10 Page 928 - November 2018

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  Dent Update 2018; 45: 928-934

Orthodontics and Periodontics:  The Orthodontic/Periodontal Interface Part 3

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Abstract: Adult patients are increasingly seeking orthodontic treatment. It is essential to establish optimal periodontal health in these patients before embarking on such treatment, which demands the interaction between the general dental practitioner (GDP) and orthodontist for effective management. This article focuses on the management of periodontal disease in orthodontic patients, orthodontic considerations, retention and complications that may arise. This is demonstrated throughout a series of clinical cases treated within a multidisciplinary team. The management of patients with periodontal disease is often challenging; the clinical issues that require consideration are discussed throughout this article.

Clinical relevance: This article provides a summary of the orthodontic and periodontal implications of different treatment techniques and management for the general practitioner.

Author notes: Sarah Griffiths, BDS, MFDS RCS(Ed), StR in Orthodontics, Sara El-Kilani, BDS, MOrth RCS(Ed), StR in Othodontics, David Waring, BChD, MDentSci, MFDS RCS(Eng), MOrth RCS(Ed), FDS(Orth) RCS(Ed), Honorary Clinical Teaching Fellow/Consultant Orthodontist, James Darcey, BDS, MSc(OMFS), MDPH, MFGDP RCS(Eng), MEndo RCS(Ed), FDS Rest Dent RCS(Ed), Consultant in Restorative Dentistry, University of Manchester Dental Hospital, Higher Cambridge Street, Manchester, M15 6HF and Ovais H Malik, BDS, MSc(Orth), MFDS RCS(Ed), MOrth RCS(Eng), MOrth RCS(Ed), FDS(Orth) RCS(Eng), Consultant in Orthodontics, University of Manchester Dental Hospital, Higher Cambridge Street, Manchester, M15 6FH, Salford Royal NHS Foundation Trust and Northenden House Orthodontics, Sale Road, Manchester M23 0DF, UK.

Objective: To demonstrate the importance of multidisciplinary management within the orthodontic-periodontal interface and understand the clinical implications and management of patients with periodontal disease.