Comment l’orthodontie favorise la régénération des lésions parodontales ?

Revue Réalités Cliniques / 26/06/2017
Résumé
Les migrations dentaires secondaires consécutives aux parodontites représentent un motif de consultation important. Les thérapeutiques orthodontiques peuvent remédier à ces déplacements mais ne peuvent le faire que dans un contexte de parodonte assaini. Ces malpositions sont souvent associées à des lésions intra-osseuses qu’il convient de traiter par des techniques de régénération parodontale. Les processus biologiques mis en jeu dans la cicatrisation des traitements parodontaux sont proches de ceux induits par le remodelage osseux orthodontique. L’association de ces principes thérapeutiques permet d’agir de façon synergique sur la résolution des lésions osseuses et sur le repositionnement correct des structures dentaires. Les différents moyens orthodontiques fixes ou amovibles sont discutés et le moment de leur mise en œuvre sera fonction de la réponse biologique parodontale.

Implication clinique
L’orthodontie a toute sa place dans une thérapeutique parodontale afin d’optimiser le résultat clinique et sa pérennité.

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