Periodontal procedures are often necessary in conjunction with orthodontic treatment. The dental team, including the general dentist, orthodontist, and periodontist will determine the sequence and types of procedures necessary. Usually, gingival augmentation is evaluated and treated prior to proceeding with orthodontic therapy while some procedures are performed during or after orthodontic therapy.
Adjunctive Orthodontic Services
Exposure of Unerupted Teeth
This procedure refers to the uncovering of impacted or unerupted tooth that has not erupted into the mouth when they should. It is usually done in conjunction with orthodontic therapy by bonding a bracket and chain to the newly exposed tooth to allow the Orthodontist access and move the tooth into proper position in the mouth.
Orthodontic Anchorage Devices
Temporary Anchorage Devices (TADs) are small, screw-like dental implants or plates that are used as anchorage to speed up tooth movement without placing unwanted forces on natural teeth. It is a quick and relatively easy procedure done under local anesthetics. TADs can usually be activated immediately or soon after placement for tooth movement, and are removed once orthodontic treatment is complete or the tooth is straightened.
Periodontal Accelerated Osteogenic
Periodontal Accelerated Osteogenic Orthodontics (PAOO), also known as Wilckodontics, is a procedure that combines scoring of the alveolar bone, particulate bone grafting, and application of orthodontic forces. This procedure is theoretically based on the bone healing pattern known as the Regional Acceleratory Phenomenon (RAP).
PAOO results in an increase in alveolar bone width, dramatic reduction of orthodontic treatment time, increased post-orthodontic treatment stability, and decreased amount of unwanted root resorption.