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Content provided by Farooq Ahmed. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Farooq Ahmed or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.
Similar to orthodontics In summary
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Think pink – orthodontics a problem or solution to gingival recession. 6 MINUTE SUMMARY
Manage episode 397294158 series 2830917
Content provided by Farooq Ahmed. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Farooq Ahmed or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.
Join me for a summary looking at gingival recession in orthodontics, and whether it is detrimental or beneficial. This lecture was given by James Andrews, he explored the effect of orthodontics on the periodontium, an area under increasing interest within aesthetics to achieve the ideal ‘pink aesthetics’ with the increasing adult population receiving orthodontic treatment. His lecture was based on, is orthodontics good or bad for the gingiva?
What is the starting point ?
Increase in adult orthodontics from 1970 by 800%
50% of adults have some element of periodontal disease
Untreated adult population 51% dehiscence 37% areas of fenestration Evangelista 2010
Facial type and bone morphology Tunis 2021
Dolichocephalic = narrow alveolus and elongated to compensate for vertical growth
Brachycephalic = larger alveolus
Dolichocephalic - Red flag patients
Tooth movement:
What happens when teeth move buccally?
facial tooth movement Wennström 1996
Reduced bucco lingual width
Therefore, reduced free gingiva
Increased risk only if tooth is moved out of the alveolar housing
What type of movement
Tipping (uncontrolled) increase likelihood of recession Condo 2017
Proclination causes recession, but inconclusive
Thickness more relevant than final inclination Yared 2006
How to decide what to do?
WALA line – Will Andrews Larry Andrews ridge Andrews 2000
Limit of labial bone – shape is coincident with the mucogingival junction, coincident with centre of resistance
Upper incisors – located anterior 1/3 of alveolus
Mandibular incisors – cantered within the alveolus
Gingival recession did not increase in treatment orthodontic population with segmental mechanics Melsen 2005
Aligners any different?
Association between non-extraction clear aligner therapy and alveolar bone deficiency and fenestration
Presence of both fenestration and dehiscence
What do we do to correct extra-alveolar teeth?
If teeth pushed outside of cortical plate then retracted, what happens
Monkey – moved teeth outside of bone for 8 months, then reposition within bone with appliances = repair bony dehiscence and fenestration
Morten Laursen and Melsen 12 consecutive patients 2020
Teeth moved towards the centre of the cortical plate = improvement in gingival height of depth decrease of 23%, the width with 38%
Intrusion
Use of intrusion arch increases the thickness of the periodontal fibres 0.7 to 2.3 mm Melsen 1988
Gingival graft when to move teeth
Free gingival graft – 6 weeks
Connective tissue graft – 12 weeks
“Diagnose and treat each tooth no miracles shortcuts for good orthodontics” Peck 2017
129 episodes
Share
Manage episode 397294158 series 2830917
Content provided by Farooq Ahmed. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Farooq Ahmed or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.
Join me for a summary looking at gingival recession in orthodontics, and whether it is detrimental or beneficial. This lecture was given by James Andrews, he explored the effect of orthodontics on the periodontium, an area under increasing interest within aesthetics to achieve the ideal ‘pink aesthetics’ with the increasing adult population receiving orthodontic treatment. His lecture was based on, is orthodontics good or bad for the gingiva?
What is the starting point ?
Increase in adult orthodontics from 1970 by 800%
50% of adults have some element of periodontal disease
Untreated adult population 51% dehiscence 37% areas of fenestration Evangelista 2010
Facial type and bone morphology Tunis 2021
Dolichocephalic = narrow alveolus and elongated to compensate for vertical growth
Brachycephalic = larger alveolus
Dolichocephalic - Red flag patients
Tooth movement:
What happens when teeth move buccally?
facial tooth movement Wennström 1996
Reduced bucco lingual width
Therefore, reduced free gingiva
Increased risk only if tooth is moved out of the alveolar housing
What type of movement
Tipping (uncontrolled) increase likelihood of recession Condo 2017
Proclination causes recession, but inconclusive
Thickness more relevant than final inclination Yared 2006
How to decide what to do?
WALA line – Will Andrews Larry Andrews ridge Andrews 2000
Limit of labial bone – shape is coincident with the mucogingival junction, coincident with centre of resistance
Upper incisors – located anterior 1/3 of alveolus
Mandibular incisors – cantered within the alveolus
Gingival recession did not increase in treatment orthodontic population with segmental mechanics Melsen 2005
Aligners any different?
Association between non-extraction clear aligner therapy and alveolar bone deficiency and fenestration
Presence of both fenestration and dehiscence
What do we do to correct extra-alveolar teeth?
If teeth pushed outside of cortical plate then retracted, what happens
Monkey – moved teeth outside of bone for 8 months, then reposition within bone with appliances = repair bony dehiscence and fenestration
Morten Laursen and Melsen 12 consecutive patients 2020
Teeth moved towards the centre of the cortical plate = improvement in gingival height of depth decrease of 23%, the width with 38%
Intrusion
Use of intrusion arch increases the thickness of the periodontal fibres 0.7 to 2.3 mm Melsen 1988
Gingival graft when to move teeth
Free gingival graft – 6 weeks
Connective tissue graft – 12 weeks
“Diagnose and treat each tooth no miracles shortcuts for good orthodontics” Peck 2017
129 episodes
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Similar to orthodontics In summary
An award-winning cannabis podcast for women, by women. Hear joyful stories and useful advice about cannabis for health, well-being, and fun—especially for needs specific to women like stress, sleep, and sex. We cover everything from: What’s the best weed for sex? Can I use CBD for menstrual cramps? What are the effects of the Harlequin strain or Gelato strain? And, why do we prefer to call it “cannabis” instead of “marijuana”? We also hear from you: your first time buying legal weed, and how ...
…
continue reading
Join me for a weekly talk-through of IELTS topics to help you learn about the issues, vocabulary, tips and strategies you need to prepare. Find all my tips on my website ieltsetc.com and join the Members Academy for all the downloads, step-by-step online courses, and support to get you a Band 7+ in the #ielts test.
…
continue reading
1
Every Day Is Saturday Podcast For Motivation, Inspiration And Success
Self Improvement Coach Sam Crowley
1k900
One of the top motivational podcasts for 18 years and running. Motivational messages to keep you inspired throughout the week. Success comes in all shapes and sizes. Sam Crowley’s authentic message will provide the inspiration you need to conquer the challenges and claim your power.
…
continue reading
Everyone has a dream. But sometimes there’s a gap between where we are and where we want to be. True, there are some people who can bridge that gap easily, on their own, but all of us need a little help at some point. A little boost. An accountability partner. A Snooze Squad. In each episode, the Snooze Squad will strategize an action plan for people to face their fears. Guests will transform their own perception of their potential and walk away a few inches closer to who they want to become ...
…
continue reading
Are you looking for more happiness, success and vitality in your life? Get inspired each week with wellness and performance expert, Integrative Medicine Fellow, author & keynote speaker, Kristel Bauer. Live Greatly shares empowering conversations and insights about happiness, wellness & success to support your personal and professional development. Kristel talks with top experts, leaders and inspiring individuals to help you embrace a growth mindset and excel in your work/life. Kristel then ...
…
continue reading
Interviews with mathematics education researchers about recent studies. Hosted by Samuel Otten, University of Missouri. www.mathedpodcast.com Produced by Fibre Studios
…
continue reading
Do your eyes glaze over when looking at a long list of annual health insurance enrollment options – or maybe while you’re trying to calculate how much you owe the IRS? You might be wondering the same thing we are: Where’s the guidebook for all of this grown-up stuff? Whether opening a bank account, refinancing student loans, or purchasing car insurance (...um, can we just roll the dice without it?), we’re just as confused as you are. Enter: “Grown-Up Stuff: How to Adult” a podcast dedicated ...
…
continue reading
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continue reading
(Apple's Best of 2018) In-depth conversations with people at the top of their game. Jordan Harbinger unpacks guests' wisdom into practical nuggets you can use to impact your work, life, and relationships. Learn from leaders (Ray Dalio, Simon Sinek, Mark Cuban), entertainers (Moby, Tip "T.I." Harris, Dennis Quaid), scientists (Neil deGrasse Tyson, Bill Nye), athletes (Kobe Bryant, Dennis Rodman, Tony Hawk) and an eclectic array of fascinating minds, from art forgers and arms traffickers to sp ...
…
continue reading
BackStory is a weekly public podcast hosted by U.S. historians Ed Ayers, Brian Balogh, Nathan Connolly and Joanne Freeman. We're based in Charlottesville, Va. at Virginia Humanities. There’s the history you had to learn, and the history you want to learn - that’s where BackStory comes in. Each week BackStory takes a topic that people are talking about and explores it through the lens of American history. Through stories, interviews, and conversations with our listeners, BackStory makes histo ...
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continue reading
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