This week's clinical tip from CDOCS comes from Dr. Shalin Shah and focuses on the periodontal portion of dentistry.
If you're looking for other clinical tips from CDOCS, head to the search engine at DrBicuspid.com and search for "clinical tip." We have more than 30 that can help level up your clinical skills.
Video transcript
"Hi. This is Shalin from CDOCS. Today's tip of the day is about periodontal attachment loss.
"Not all periodontal attachment loss is created the same. Of course, we know that if there's the presence of periodontal pathogens, we certainly have a higher risk for our patients to have attachment loss by way of recession and underlying bone resorption.
"However, that's not always the case. If somebody has a clean mouth, it's not just hard brushing that potentially gets them to have that attachment loss. Attachment loss can also occur in terms of the positioning of the teeth. If the teeth are actually against the cortical plate, meaning they're no longer in the center, they're on one of the edges, or they're excessively inclined, then what can happen is the vertical forces on an inopportune or a misangulated tooth can create a failure in that tooth, an area of compression between the surface of the root as well as the bone, which can exacerbate or accelerate bone resorption, and you can have attachment loss in the absence of periodontal pathogens.
"In that scenario, orthodontics is going to be key in terms of positioning the teeth properly within the bone, as well as making sure that they are upright or at that proper angulation, that they should be within the arch, as well as in the against the opposing arch, to make sure that we have an ideal static occlusion as well as an ideal functional inclusion.>
"I hope that this is of help, and don't forget to always enhance that orthodontic and restorative relationship and make sure that you refer by the age of seven to your local orthodontic team. Thank you so much."
