Orthodontic

Though treatment planning is almost always the same, sequence of execution of treatment varies between patients depending on individual problems and priorities.
Adult patients undergoing orthodontic falls into two groups. One group of patients require orthodontic treatment as part of or as an adjunct to other dental procedures. Orthodontic treatment is not a primary concern of the patient. They require an interdisciplinary treatment approach involving orthodontic interaction with other specialities . Another group seek orthodontic treatment as a primary concern to improve function and aesthetics. This group of patients requires comprehensive orthodontic treatment. They may or may not require interdisciplinary treatment involving other specialities-depending on the presenting condition of the patient.
Once the final treatment plan is established
The following sequence can be followed in the management of adult orthodontic patients. Management of emergencies like pain relief should be done before any other procedures. Then steps to control any active dental disease like caries or periodontal disease should be done. This includes oral hygiene instructions, scaling and root planning flap surgery, Guided Tissue Regeneration or gingival grafting , restorations & correction of defective restorations, root canal treatment etc. …show more content…
Oral hygiene maintenance and periodontal maintenance therapy should be taken care of during orthodontic treatment also. Retention should be given immediately after removal of the fixed appliance to retain teeth in corrected positions. Permanent splinting of periodontally compromised teeth may be done. Restorations like crowns , bridges , R.P.Ds which require occlusal detailing can be done after 3-6 months of appliance removal. Acrylic blocks or even teeth can be added to the retainer to prevent supra-eruption of opposing tooth in the