The orthodontist is a key member of the multidisciplinary team in resolving periodontal and implant treatment planning obstacles. All dental disciplines, including orthodontics, must be considered for optimal implant placement. The inherent periodontal risks of bone loss and recession during or subsequent to orthodontics should always be a consideration in treatment planning. An understanding of the timing of accompanying sophisticated periodontal regenerative and gingival augmentation techniques is paramount to achieving predictable long-term success. The resultant enhanced function and esthetics might still justify these risks, even though corrective periodontal surgery may later be necessary. This lecture will demonstrate clinical insight reinforced through long-term documentation of these interdisciplinary relationships.
Roger J. Wise, DDS, a diplomate of the American Board of Periodontology, is a faculty member of the Department of Orthodontics at the Harvard School of Dental Medicine and a lecturer for the Institute for Advanced Dental Studies. He lectures internationally on the interrelations of periodontics, orthodontics, and restorative dentistry. He also serves as consultant for the American Journal of Orthodontics and Dentofacial Orthopedics and practices periodontology and adult orthodontics in Swampscott, Massachusetts.