Shreya Kishore

By Shreya Kishore, Vanita Barai, Suvetha Siva and Keerthi Venkatesan

Periodontal pathogenesis is a multi-factorial process and the orthodontist must recognize the clinical forms of inflammatory periodontal disease. Orthodontics is the most conservative and predictable treatment to improve numerous local etiological factors that contribute to periodontal disease including periodontal breakdown. Proper occlusal function and masticatory function are stimulatory to the gingival tissue and the attachment apparatus, while, conversely, a lack of function predisposes to disease that increases plaque retention and calculus formation along with gingival inflammation leading to increased loss of bony support. No matter how talented the orthodontist, a magnificent orthodontic correction can be destroyed by failure to recognize periodontal susceptibility. Therefore, identifying periodontally susceptible patients is critical for the outcome of the treatment. This chapter will highlight the importance of the short-term and long-term outcomes of orthodontic treatment, which are influenced by the patient’s periodontal status before, during and after active orthodontic therapy.

Part of the book: Periodontology

By Suvetha Siva, Shreya Kishore, Suganya Dhanapal, Janani Ravi and Chandhini Suresh

In orthodontics there has been a change in the treatment plan of crowding cases from extraction protocol. This was mainly due to the introduction of self-ligating bracket and temperature activated wires. Even though there are certain exceptions, the self-ligating bracket have evolved in orthodontics because of its advantages such as low friction, shorter treatment duration and increased efficacy. Damon’s self-ligating system has been in existence since 1930 but it has been well developed in the past 30 years with the introduction of newer systems. Damon’s self-ligating brackets have been designed to overcome the drawbacks of conventional bracket system and are often considered as the pinnacle of bracket technology. The main advantage of Damon’s system was low friction and shorter treatment duration. But the efficiency of the appliance is influenced by several factors such as Biomechanics, frequency of dental visits and patient comfort. The chapter will highlight the efficiency of the appliance, the various possible outcomes and its influence on the ease of orthodontic therapy.

Part of the book: Current Trends in Orthodontics

By Monisha P. Khatri, Shreya Kishore and Srujana Hemmanur

‘Smile is a universal language, shared by people all over the world’. It conveys a lot without saying anything at all. Our smile is of utmost importance and dental aesthetics play a vital role to create it. Smile designing (SD) consists of various components that aim to develop the overall personality of a patient. To create an aesthetic, smile is an organised and systematic approach that is required to evaluate, diagnose and resolve the problems associated with it. The ultimate goal of an aesthetic make-over is to ensure a stable masticatory system, where the oral hard and soft tissues remain in harmony. Hence this chapter aims to focus on various aspects of SD that includes its goals, components, procedure and future prospects.

Part of the book: Human Teeth