Treatment FAQ

which teeth commonly relapse after perio treatment

by Dina Heller Published 2 years ago Updated 2 years ago
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The problem that has been noted is that by the time the long orthodontic treatment is over, patients are often not bothered by the need to wear retainers. The teeth most commonly affected are the lower front teeth which start to become crowded after a period of a few years.

Relapse was most frequent in the maxillary lateral incisors and mandibular canines. This can be essential when planning for orthodontic rotation of maxillary teeth as it might need an increased amount of rotation compared to mandibular.

Full Answer

What are the healing processes after periodontal therapy?

 · As your enamel wears, your teeth may be more susceptible to shifting under pressure. This is especially common in the front teeth. “Seeing the various factors that can lead to relapse makes it even more apparent why retainers after orthodontic treatment are …

What is the rate of relapse after orthodontic treatment for gum disease?

 · Orthodontic relapse can be defined as the tendency for teeth to return to their pre-treatment position, and this occurs especially in lower front teeth (lower canines and lower incisors). Retention, to maintain the position of corrected teeth, has become one of the most important phases of orthodontic treatment.

What is relapse of teeth after braces?

 · After the perio scaling and root planing procedure, your gum tissue may shrink slightly, thereby exposing the root surface. While it is completely normal, it can cause sensitivity to certain foods or beverages that are either hot, cold, hard or particularly sweet. This can be alleviated by using anti-sensitivity toothpastes such as Sensodyne.

How is the destroyed periodontium repaired?

 · In the periodontium, gingi val epithelium is replaced by epithelium, and the underlying connective tissue and periodontal ligament are derived from connective tissue. Bone and cementum are not replaced by existing bone or cementum but by connective tissue, which is the precursor of both.

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How common is relapse after orthodontic treatment?

It may not be a common topic, but orthodontic relapse is actually fairly common. In fact, some studies estimate that over half of all orthodontic patients will experience some level of relapse within 10 years of completing their treatment.

How common is dental relapse?

This condition occurs when your teeth begin to move back toward their original position, as they were before treatment. It is estimated that more than 50% of patients experience some amount of relapse within 10 years after treatment.

Do teeth always relapse?

Tooth relapse after braces is very common, especially in the first year after braces. The cause is simple: your teeth have been moved, but they haven't become fully fixed in their new places yet. When braces and other orthodontic treatments move your teeth, they cause your body to remodel bone around your teeth.

How long does it take for teeth to relapse?

How Long Does It Take For Teeth To Relapse? Relapse means that the teeth can take up to one year or more to stabilize after treatment. If you had gaps between your teeth before treatment, the retention period will be longer.

Can retainer fix relapse?

Minor movements of the teeth can also be corrected by having new retainers made. However, if the relapse is significant, we may recommend re-treatment for you. This could include traditional metal braces or Invisalign aligners. Fortunately, correcting a relapse often takes much less time than your original treatment.

How do you prevent relapse after orthodontic treatment?

Preventing and Treating Relapse Follow your dentist's instructions exactly to prevent relapse. You will have to wear your retainer constantly for a short number of months after the braces come off, then wear it periodically for as long as you want to keep your teeth straight.

Do teeth relapse after Invisalign?

An orthodontic relapse can occur if teeth move positions after the tooth straightening treatment (braces). Our orthodontists have seen many cases where this has happened and now provide treatments to prevent and treat this problem.

What causes orthodontic relapse?

This shifting of teeth is known as orthodontic relapse. This happens when teeth return to their positions prior to treatment. Most of the time, the relapse is caused by the patient's failure to consistently wear the retainers provided after the primary orthodontic treatment.

Can teeth relapse after retainer?

Neglecting to wear your retainer, per an orthodontist's recommendations, is another one of the most common causes of orthodontic relapse. However, if you're one of those neglectful patients that since changed their mind and are considering wearing that old retainer, don't.

Is it OK to not wear retainer for 2 days?

If you accidentally forget to wear your removable retainer for a day or two, don't worry too much. Resume your retainer regimen as instructed, and you should be fine. If it's been longer than that, such as weeks, or even months, try it on to see if it still fits.

How long does it take teeth to settle?

Typically after nine months, when the roots of your teeth are “stabilized”, you can transition from wearing your retainer from full time to nighttime while you sleep.

Can a person get braces twice?

While braces are often seen as a permanent fix for crooked teeth, this isn't really the case. If you don't follow your orthodontist's aftercare instructions, you may end up needing a second round of orthodontic treatment. Luckily, it's unlikely you'll need a whole set of braces again to get your smile back on track.

What is perio scaling?

Perio Scaling: Treating a Creepy Problem – Gum Disease. As you may know, periodontal disease or sometimes better known as perio disease or gum disease is one of the most serious and often troublesome oral health concerns that a patient may face in their lifetime primarily for two reasons: What gum disease truly is, ...

What is the pocket in the gums called?

When perio disease spreads, the inflammation begins to work its way down the foundation of the tooth, thus forming a trench or what is referred to as a “periodontal pocket” in the gum tissue surrounding the tooth. If not properly assessed in time, the pocket will continue to deepen around the tooth and spread under the gum tissue.

Can perio be reversed?

Therefore if you suspect that you may be developing perio or gum disease, or have been diagnosed with it already, you should seek treatment right away! While there is no way to reverse the damage already caused by gum disease, by receiving perio scaling and root planing treatment, you will be taking an imperative step in preventing any further damage.

How long after dental implants can you smoke?

Also as an added side note, if you are a smoker you should refrain from smoking for at least six hours after the procedure, and try to smoke as little as possible to prevent irritation.

Can perio scaling cause sensitivity?

After the perio scaling and root planing procedure, your gum tissue may shrink slightly, thereby exposing the root surface. While it is completely normal, it can cause sensitivity to certain foods or beverages that are either hot, cold, hard or particularly sweet. This can be alleviated by using anti-sensitivity toothpastes such as Sensodyne.

Can you feel discomfort after perio scaling?

Once the procedure has been completed, or when waiting between appointments, you may experience relative discomfort. However this is no cause for alarm as this is commonly experienced by patients after perio scaling, as are the following symptoms:

Does Adams Dental Group treat perio disease?

If perio disease has managed to creep up on you, Dr. Roberts at Adams Dental Group will certainly want to address this issue right away. Fortunately there is an effective non-surgical treatment used to address advancing gum disease, as Dr. Robert’s expert team will more than likely explain when using terms such as “perio scaling” and “root planing.”

How does periodontal treatment help?

By removing bacterial plaque and creating the conditions to prevent its new formation, periodontal treatment removes the obstacles to regeneration and enables the patient to benefit from the inherent regenerative capacity of the tissues. There is a brief spurt in regenerative activity immediately following periodontal treatment, but there are no local treatment procedures that promote or accelerate regeneration.

What is the final outcome of periodontal pocket healing?

The final outcome of periodontal pocket healing depends on the sequence ol events during the healing stages 1 If the epithelium proliferates along the tooth surface before the other tissues reach the area, the result will be a long junctional epithelium. II the cells from the gingival connective tissue are the lirst to populate the-

What is reattachment of the tooth?

Reattachment is currently used only to refer to repair in areas ot the root not previously exposed to the pocket , such as after surgical detachment of the tissues or following traumatic tears in the cementum, tooth fractures, or the treatment of periapical lesions.

Is attachment a goal of periodontal therapy?

New attachment and osseous regeneration have been a constant but elusive goal ol periodontal therapy since beginning of this century. Since the ll>7 ()s, renewed laboratory and clinic,d research efforts have resulted in new-concepts and techniques that have moved us much closer to attaining this ideal result ol therapy. < haptcr 6 * presents the recommended methods of treatment and their indications and accomplishments.

What is the process of repair of gingival sulcus?

36-3). 11 iis process, called healing by scar ,2* arrests bone destruction without necessarily Increasing bone height. Restoration of the destroyed periodontium involves mobilization of epithelial and connective tissue cells into the damaged area and increased local mitotic divisions to provide sufficient number of cells (Fig. 36-4).

Is regeneration a part of the healing process?

Regeneration is also going on during destructive periodontal disease. Most gingival and periodontal diseases are chronic inflammatory processes and, as such, are healing lesions. Regeneration is part of the healing. However, bacteria and bacterial products that perpetuate the disease process and the inflammatory exudate they elicit are injurious ...

What is the term for the regeneration of the periodontium?

I bis is termed weai ami War repair .1* It is manifested by mitotic activity in the epithelium of the gingiva and the connective tissue of the periodontal ligament, by the formation of new bone, and by the continuous deposition of cementum.

Why do braces relapse?

The main reason why teeth relapse in this period is that they aren’t yet fully fixed in their new places.

What to do if your teeth are crooked after braces?

Preventing and Treating Relapse. If you are concerned about relapse, the main thing you have to do is wear your retainer after braces.

How do braces work after removal?

Once your braces are removed, then, you basically have a rubber band trying to pull your teeth back to where they were before. The movement of your teeth back is made more likely by the fact that the reworked bone around your tooth may be less dense along the path from your tooth’s new position to its old position.

How do braces move teeth?

Braces move teeth by putting constant pressure on the tooth, causing the bone around it to remold, allowing the tooth to move . Once the braces come off, though, there is no longer force pushing your teeth into the desired position. Instead, there are forces that want to draw your teeth back to their old position.

Can you get braces for crooked teeth?

No. There are many orthodontics treatments available that can give you the right solution for your crooked teeth. In most cases, treatment can be completed much faster than your first set of braces braces. If you are concerned about relapse from orthodontic treatment, we can manufacture a retainer for you.

Why do you do perio before ortho?

Why you do perio before ortho: b/c perio can cause gingival and osseous changes

What is the term for loss of buccal or lingual bone overlying a tooth root, leaving the area

Dehiscence: Loss of buccal or lingual bone overlying a tooth root, leaving the area covered by soft tissue only

Which group has the highest incidence of chronic perio?

Black males have the highest incidence of chronic perio.

What are the flaws of the gingival index?

Gingival index/perio index. Know their flaws: Perio index flaws are that the gingival recession was not taken into account.

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