Aligners for Periodontal Patients > 자유게시판

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Aligners can be a viable option for patients with periodontal concerns, but they require careful planning and ongoing monitoring. Periodontitis compromises the gums and bone that support the teeth, and without effective treatment, orthodontic movement can accelerate tissue destruction. Before starting any aligner treatment, it is essential that the patient has non-active, well-maintained gum tissue. This means infectious periodontal lesions require definitive therapy, often through deep cleaning and debridement, and sometimes periodontal surgery. Patients should be under the regular care of a periodontist or hygienist throughout the orthodontic process.

Once periodontal health is achieved, aligners offer several advantages. Unlike traditional braces, aligners are easily taken out, which allows patients to practice uncompromised cleaning routines. Brushing and flossing are easier without brackets and wires, reducing biofilm accumulation that triggers gingival irritation. The gentle, controlled movement provided by aligners can also be less traumatic to already compromised periodontal tissues when compared to the unrelenting force from brackets and wires.

However, some patients are poor candidates for aligners. Patients with severe bone loss, loose teeth, or insufficient bone support may not be good candidates. In these cases, orthodontic movement could lead to further tooth mobility or even tooth loss. A detailed assessment combining CBCT, PD readings, and clinical signs is necessary to determine eligibility.

Treatment planning must be individualized. The orthodontist and periodontist should work together to set prudent objectives. Movement should be gradual and deliberate, with regular assessments of gingival parameters. Patients must be highly compliant with wearing their aligners as prescribed and maintaining meticulous oral hygiene. Any sign of gum bleeding, swelling, or increased pocket depth during treatment should trigger an immediate review.

In summary, aligners can be appropriately applied for patients with periodontal concerns if the disease is successfully stabilized and the treatment is closely monitored. The key to success lies in interdisciplinary teamwork, patient commitment to oral hygiene, and a cautious biomechanical strategy. For the suitable patient, aligners can improve both smile aesthetics and long-term oral health.