A Clinical Guide to Orthodontics-06

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1、02p71-77.qxd12/12/200311:58Page71PRACTICEINBRIEF●Beforeanyactiveorthodontictreatmentisconsidereditisessentialthattheoralhygieneisofahighstandardandthatallcariousleionshavebeendealtwith●Archwires,headgearsandbracketsthemselvesmaycausesignificantdamageeith

2、erduringanactivephaseoftreatmentorduringdebonding.Muchcareneedstobetakenwhen6instructingpatientsabouttheirroleinorthodontictreatment●Theaimofthissectionistooutlinepotentialrisksinorthodontictreatmentandtogiveexamples.Therearealsoanumberofillustrationstoh

3、elphighlightthesepointsVERIFIABLECPDPAPEROrthodontics.Part6:RisksinorthodontictreatmentH.Travess1,D.Roberts-Harry2andJ.Sandy3Orthodonticshasthepotentialtocausesignificantdamagetohardandsofttissues.Themostimportantaspectoforthodonticcareistohaveanextremel

4、yhighstandardoforalhygienebeforeandduringorthodontictreatment.Itisalsoessentialthatanycariouslesionsaredealtwithbeforeanyactivetreatmentstarts.Rootresorptionisacommoncomplicationduringorthodontictreatmentbutthereissomeevidencethatonceappliancesareremoved

5、thisresorptionstops.Someoftheriskpointersforrootresorptionaresummarised.Softtissuedamageincludesthatcausedbyarchwiresbutalsothemoreharrowingpotentialforheadgearstocausedamagetoeyes.Itisessentialthatadequatesafetymeasuresareincludedwiththistypeoftreatment

6、.IforthodontictreatmentistobeofbenefittoaORTHODONTICSpatient,theadvantagesitoffersshouldoutweigh1.Whoneedsanypossibledamageitmaycause.1Itisimpor-orthodontics?tanttoassesstherisksoftreatmentaswellasthe2.Patientassessmentandpotentialgainandbalancetheseaspe

7、ctsoftreat-examinationImentbeforedecidingtotreatamalocclusion.3.PatientassessmentandThepsychologicaltraumaofhavingorthodonticexaminationIItreatment,orindeednothavingtreatment4.TreatmentplanningshouldnotbeoverlookedandisanimportantFig.1Decalcificationonla

8、bialsurfacesof5.Appliancechoicesconsiderationintreatmentplanning.Patientnumerousteeth6.Risksinorthodonticselectionplaysavitalroleinminimisingrisksoftreatmenttreatmentandtheclinicianshouldbevigilantin7.Factandfantasyinasses