PRESURGICAL TREATMENT PHASE

PRESURGICAL TREATMENT PHASE

Periodontal Considerations

As the first step in treatment, gingival inflammation mustbe controlled and  the’ patient’s cooperation ensured. In patients who are unwilling or unable to clean their teeth properly before the placement of orthodontic appliances,
oral hygiene procedures will be even less effective when complicated by orthodontic band placement.

FIG. 25-5 A, Presurgical appearance of gingival tissue labial to lower anterior teeth. Inadequate area of attachment and keratinizatlon is visualized. B, Siqniflcant improvement in attachment and keratinization of 'labial gingival tissue after gingival grafting
FIG. 25-5 A, Presurgical appearance of gingival tissue labial to lower anterior teeth. Inadequate
area of attachment and keratinizatlon is visualized. B, Siqniflcant improvement in attachment
and keratinization of ‘labial gingival tissue after gingival grafting

don tic movement of teeth-or a surgical procedure such as an inferior border osteotomy or segmental osteotomies in interdental areas.

 

 

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