Can I Get Braces with Periodontal Disease?
Braces are a common orthodontic treatment used to correct malocclusions or misaligned teeth. While braces can help improve oral function and aesthetics, patients with periodontal disease may wonder if they are eligible for this treatment.
Periodontal disease is a condition that affects the gums and supporting structures of teeth. It is caused by bacteria in plaque and tartar buildup. Patients with periodontal disease experience symptoms such as bleeding gums, bad breath, and tooth loss.
If you have periodontal disease, it is important to address the condition before considering braces. Braces can put additional pressure on the teeth and gums, which can exacerbate periodontal disease symptoms. Before starting orthodontic treatment, an evaluation of your periodontal health should be completed.
Periodontal Evaluation
During a periodontal evaluation, your dentist or periodontist will examine your gums and supporting structures using a periodontal probe. The periodontal probe measures the pocket depth between the gum and tooth. Healthy gums have a pocket depth of 1-3mm, while pockets deeper than 5mm indicate periodontal disease.
In addition to pocket depth measurement, your dentist may take X-rays to assess bone loss and detect any underlying dental problems. If periodontal disease is present, your dentist may recommend a deep cleaning procedure known as scaling and root planing.
Scaling and Root Planing
Scaling and root planing is a non-surgical periodontal treatment that removes plaque and tartar buildup from the teeth and roots. This treatment involves two steps: scaling and root planing.
Scaling involves removing plaque and tartar buildup from the tooth surface and below the gumline. This is done using specialized instruments such as ultrasonic scalers and curettes.
Root planing involves smoothing the rough surfaces of the tooth roots to prevent further plaque buildup. This helps to promote healing and reattachment of the gum tissue to the tooth roots.
After scaling and root planing, your dentist may recommend more frequent dental cleanings to maintain periodontal health. Once your periodontal disease is under control, you can discuss the possibility of orthodontic treatment with your dentist or orthodontist.
Orthodontic Treatment with Periodontal Disease
If you have periodontal disease, your orthodontic treatment plan may need to be adjusted to accommodate your condition. Your orthodontist will work closely with your periodontist to develop a treatment plan that addresses both your orthodontic and periodontal needs.
In some cases, braces may not be recommended if periodontal disease is severe. In these cases, alternative orthodontic treatments such as clear aligners may be recommended.
It is important to continue maintaining good oral hygiene habits during orthodontic treatment, especially if you have periodontal disease. This includes brushing twice a day, flossing daily, and using an antibacterial mouthwash.
Conclusion
Periodontal disease can affect your eligibility for braces, but it does not necessarily mean that you cannot receive orthodontic treatment. Before starting any orthodontic treatment, it is important to address periodontal disease and establish good periodontal health. Your dentist and orthodontist will work together to develop a comprehensive treatment plan that meets your unique needs. By following good oral hygiene practices and attending regular dental appointments, you can achieve a healthy smile that lasts a lifetime.
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