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Uma abordagem contemporânea à relação interdisciplinar ortodôntico-periodontal : revisão de literatura
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Abstract(s)
A relação interdisciplinar entre ortodontia e periodontologia é fundamental na gestão de pacientes periodontalmente comprometidos que necessitam de tratamento ortodôntico.
Esta revisão de literatura contempla as abordagens contemporâneas para a integração destas duas disciplinas, destacando a importância da medicina dentária baseada na evidência para alcançar resultados clínicos ideais. O principal objetivo é analisar estratégias preventivas e das modalidades terapêuticas que asseguram a manutenção da saúde periodontal durante o tratamento ortodôntico, sublinhando a relevância da
colaboração interdisciplinar entre ortodontistas e periodontologistas.
Esta revisão explora os princípios biomecânicos subjacentes ao movimento dentário, incluindo o papel de estruturas periodontais como o ligamento periodontal e o osso alveolar, e aborda o efeito dos processos inflamatórios característicos da doença periodontal sobre estas estruturas. Particular atenção é dada à gestão da recessão gengival, migração dentária patológica e trauma oclusal, condições frequentemente observadas em pacientes com doença periodontal avançada. Discute-se o impacto das forças ortodônticas no periodonto, especialmente em pacientes com doença periodontal, e avaliar os potenciais riscos e benefícios associados ao tratamento ortodôntico nesses casos. Foi realizada uma pesquisa de artigos publicados em português, inglês e espanhol nas plataformas PubMed, GoogleScholar e B-on, entre 1999 e 2024.
Ao reunir a evidência científica mais recente, este estudo oferece uma visão abrangente dos desafios e soluções relacionados com o tratamento ortodôntico de pacientes periodontalmente comprometidos, contribuindo para uma melhor compreensão das melhores práticas que visam garantir a estabilidade periodontal e ortodôntica a longo prazo.
Este trabalho evidencia a importância da interdisciplinaridade entre a ortodontia e a periodontologia na gestão de pacientes periodontalmente comprometidos.
The interdisciplinary relationship between orthodontics and periodontology is essential in the management of periodontally compromised patients who require orthodontic treatment. This literature review addresses contemporary approaches to integrating these two disciplines, highlighting the importance of evidence-based dental medicine in achieving optimal clinical outcomes. The primary aim is to analyse preventive strategies and therapeutic modalities that ensure the maintenance of periodontal health during orthodontic treatment, emphasizing the significance of interdisciplinary collaboration between orthodontists and periodontists. This review explores the biomechanical principles underlying tooth movement, including the role of periodontal structures such as periodontal ligament and alveolar bone, and addresses the impact of the inflammatory process characteristic of periodontal disease. Particular attention is given to the management of gingival recession, pathological tooth migration, and occlusal trauma. The effects of orthodontic forces on the periodontium, particularly in patients with periodontal disease, are discussed, along with the evaluation of potential risks and benefits associated with orthodontic treatment in these cases. A comprehensive search of published articles in Portuguese, English and Spanish was performed in PubMed, Google Scholar B-on, between 1999 and 2024. By gathering the latest scientific evidence, this study provides a comprehensive overview of the challenges and solutions related to the orthodontic treatment of periodontally compromised patients, contributing to a better understanding of best practices aimed at ensuring long-term periodontal and orthodontic stability. This literature review emphasizes the importance of ortho-perio interdisciplinary management in periodontally compromised cases.
The interdisciplinary relationship between orthodontics and periodontology is essential in the management of periodontally compromised patients who require orthodontic treatment. This literature review addresses contemporary approaches to integrating these two disciplines, highlighting the importance of evidence-based dental medicine in achieving optimal clinical outcomes. The primary aim is to analyse preventive strategies and therapeutic modalities that ensure the maintenance of periodontal health during orthodontic treatment, emphasizing the significance of interdisciplinary collaboration between orthodontists and periodontists. This review explores the biomechanical principles underlying tooth movement, including the role of periodontal structures such as periodontal ligament and alveolar bone, and addresses the impact of the inflammatory process characteristic of periodontal disease. Particular attention is given to the management of gingival recession, pathological tooth migration, and occlusal trauma. The effects of orthodontic forces on the periodontium, particularly in patients with periodontal disease, are discussed, along with the evaluation of potential risks and benefits associated with orthodontic treatment in these cases. A comprehensive search of published articles in Portuguese, English and Spanish was performed in PubMed, Google Scholar B-on, between 1999 and 2024. By gathering the latest scientific evidence, this study provides a comprehensive overview of the challenges and solutions related to the orthodontic treatment of periodontally compromised patients, contributing to a better understanding of best practices aimed at ensuring long-term periodontal and orthodontic stability. This literature review emphasizes the importance of ortho-perio interdisciplinary management in periodontally compromised cases.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Doença periodontal Interface ortodontia-periodontologia Movimento ortodôntico Tratamento interdisciplinar