Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

Open Gingival Embrasures After Orthodontic Treatment in Adults Open Gingival Embrasures After Orthodontic Treatment in Adults

Author(s):

Vincent G. Kokich, Sr., DDS, MSD;Jacklyn R. Kurth, DDS, MSD

Date Added:

8/1/2001


Summary:

The purposes of this study were to determine the prevalence of posttreatment open gingival embrasures in adult orthodontic patients and to examine the association of pretreatment maxillary incisor malalignment, posttreatment alveolar bone height, interproximal contact position, root angulation, crown shape, and embrasure area with open gingival embrasures. Posttreatment intraoral photographs of 337 adult orthodontic patients were evaluated to determine the prevalence of open gingival embrasures. A subsample of 119 patients was identified for measurement and divided into 2 groups: normal gingival embrasures and open gingival embrasures. Digital images of the pretreatment maxillary models and posttreatment maxillary central incisor periapical radiographs were made to measure the pretreatment and posttreatment variables. The prevalence of posttreatment open gingival embrasures in adult orthodontic patients was 38%. Pretreatment maxillary central incisor rotation and overlap were not statistically associated with posttreatment open gingival embrasures. A posttreatment alveolar bone-interproximal contact distance greater than 5.5 mm was associated with open gingival embrasures. Short and more incisally positioned posttreatment interproximal contacts were associated with open gingival embrasures. Open gingival embrasures were found to have more divergent root angulations and more divergent or triangular-shaped crown forms than normal gingival embrasures. Embrasure areas larger than 5.09 mm^2 were also correlated with open gingival embrasures. Increased alveolar bone-interproximal contact distance and increased root angulation demonstrated the greatest increase in the odds of an association with an open gingival embrasure. This investigation indicates that open gingival embrasures are common in adults who have undergone orthodontic treatment and that posttreatment variables are significant factors in open gingival embrasures. (Am J Orthod Dentofacial Orthop 2001 ;120:116-23)

Related Articles
Maximizing Anterior Esthetics

Maximizing Anterior Esthetics
As the new millennium gradua lly unfolds. the impact on dentistry will be substantial. In the past, the paradigm that controlled dental education and clinical dentistry was devoted to repairing the aftermath of the two major dental diseases (dental caries and periodontitis). However, in most regions of the United States, dental caries in younger individuals has decreased substantially for the past 25 years, due to fluoridation and the use of occlusal sealants. Furthermore, the number of patients with…

Author(s): Vincent G. Kokich, Sr., DDS, MSD;Frank M. Spear, DDS, MSD, Vincent O. Kokich, Jr.
View Article>>
Manejo Integral de Maloclusion Clase III en Adulto, con Requerimientos Periodontales y Protesicos; Reporte de un caso clinico

Manejo Integral de Maloclusion Clase III en Adulto, con Requerimientos Periodontales y Protesicos; Reporte de un caso clinico
En nuestra clinica observamos un aumento de pacientes adultos con problemas esqueletales, compromiso periodontal y necesidades protesicas. Debemos recurrir a la interconsulta con el periodoncista, protesista y cirujano maxilofacial, para la correccion del caso, prestando especial atencion al componente dentario, esqueletal y los tejidos blandos faciales del paciente. La cirugia ortognatica, que generalmente la realizamos luego de una preparacion ortodoncica, permite corregir discrepancias en el adulto y restaurar la funcion y estetica en los tres planos del espacio. Realizada la correccion oclusal, procedemos a sustituir dientes ausentes, mediante implantes y protesis fijas. El Periodoncista, mantiene un control constante de la salud de los tejidos de soporte, durante todas las fases de la terapia multidisciplinaria.

Author(s): Miguel Hirschhaut, DDS;Jorge Ravelo, DDS
View Article>>
Interdisciplinary Management of Single-Tooth Implants

Interdisciplinary Management of Single-Tooth Implants
Orthodontists treat many patients who are missing maxillary lateral incisors and/or mandibular second premolars. In the past, if the canines could not be substituted for lateral incisors, conventional full-coverage bridges were the common restoration. Recently, resin-bonded Maryland bridges became a popular substitute for conventional bridges to avoid crowns on the nonrestored abutments. However, resin-bonded bridges have a poor long-term prognosis for retention, lasting on average about 10 years.…

Author(s): Vincent G. Kokich, Sr., DDS, MSD;Frank M. Spear, DDS, MSD, David P. Matthews, DDS
View Article>>
Related Videos
The Role of Orthodontics in the Multidisciplinary Treatment of Complex Cases - Part 1 of 2 Premium Member Content

The Role of Orthodontics in the Multidisciplinary Treatment of Complex Cases - Part 1 of 2
Orthodontics sets up the foundation for future prosthetics in cases with periodontal, surgical and restorative dentistry requirements. Adult orthodontics simplifies complex clinical situations. Making it easier for restorative dentist to achieve better esthetic & functional results. Orthognatic surgery combined with orthodontics corrects skeletal discrepancies in order to have the patient ready for prosthodontic replacement of multiple missing teeth. Cases combined with implants to restore form & function will further illustrate the importance of multidisciplinary dentistry. Today´s practice requires a team approach that will be presented. In order to meet the patient´s demands for better esthetics and to obtain long term occlusal stability of our results.

Presented By:: Miguel Hirschhaut, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Manejo bio-estético de un caso combinando los tratamientos de Perio-Orto-Prosto Premium Member Content

Manejo bio-estético de un caso combinando los tratamientos de Perio-Orto-Prosto
Durante la presentación se repasará a detalle la incorporación de estas tecnicas en equipo y como manejando de forma correcta los tiempos, podemos lograr resultados muy completos.

Presented By:: Manuel De la Rosa Garza, DDS, MS, FID
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
The Role of Orthodontics in Treating the Adult and Periodontal Patient - Making Critical Clinical Decisions Premium Member Content

The Role of Orthodontics in Treating the Adult and Periodontal Patient - Making Critical Clinical Decisions
In this lecture presentation, a focus on multidisciplinary treatment planning and decision making is utilized to outline the benefits of adult orthodontics for the treatment of complex periodontal, occlusal and esthetic challenges. Timing of therapy and patient management are especially emphasized.

Presented By:: Manuel De la Rosa Garza, DDS, MS, FID
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Merging Orthodontics & Esthetic Dentistry for the Anterior Zone. A Complete Clinical & Laboratory Perspective - Part 2 of 2 Premium Member Content

Merging Orthodontics & Esthetic Dentistry for the Anterior Zone. A Complete Clinical & Laboratory Perspective - Part 2 of 2
Anterior zone represents a clinical challenge in dentofacial esthetics. This presentation is unique since we will illustrate multidisciplinary treatment for the anterior zone from A to Z. Through the perspective of a Master Dental Ceramist & Restorative Dentist combined with the input of the Orthodontist we will illustrate with clinical cases the management of anterior esthetic challenges. Skeletal & dental problems are treated through orthodontics & orthognatic surgery prior to periodontal plastic surgery & finally high quality restorative dentistry gives the final touch to our cases. Extensive details of the ceramic laboratory work will be explained & illustrated for preserving as much as possible tooth structure. The complete management of anterior veneers & metal free crowns will be explained in detail. Color & shapes are an integral part of this webinar.

Presented By:: Miguel Hirschhaut, DDS;Anabell E Bologna, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Merging Orthodontics & Esthetic Dentistry for the Anterior Zone. A Complete Clinical & Laboratory Perspective Premium Member Content

Merging Orthodontics & Esthetic Dentistry for the Anterior Zone. A Complete Clinical & Laboratory Perspective
Skeletal & dental problems are treated through orthodontics & orthognatic surgery prior to periodontal plastic surgery & finally high quality restorative dentistry gives the final touch to our cases. Extensive details of the ceramic laboratory work will be explained & illustrated for preserving as much as possible tooth structure. The complete management of anterior veneers & metal free crowns will be explained in detail. Color & shapes are an integral part of this webinar. Individualizing solutions for each patient is the key to veneers & crowns looking as close as possible to natural teeth. The orthodontist, ceramist and restorative dentist merge art & science for the best possible results. The protocol for long term care of these anterior esthetic restorations will be presented.

Presented By:: Anabell E Bologna, DDS;Miguel Hirschhaut, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Interdisciplinary Team Dentistry for Total Dentofacial Esthetics - Part 1 of 2 Premium Member Content

Interdisciplinary Team Dentistry for Total Dentofacial Esthetics - Part 1 of 2
Orthodontics sets up the foundation for future prosthetics in cases with periodontal, surgical and restorative dentistry requirements. Adult orthodontics simplifies complex clinical situations. Making it easier for restorative dentist to achieve better esthetic & functional results. Orthognatic surgery combined with orthodontics corrects skeletal discrepancies in order to have the patient ready for prosthodontic replacement of multiple missing teeth. Cases combined with implants to restore form & function will further illustrate the importance of multidisciplinary dentistry. Today´s practice requires a team approach that will be presented. In order to meet the patient´s demands for better esthetics and to obtain long term occlusal stability of our results.

Presented By:: Miguel Hirschhaut, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free







Contact Us | Privacy Policy | Terms of Use
©2021

Preferred Language: English Flag
Contact Us · Login · Register