Orthotown April 2023 - 44
FIG. 6: Photo of a presentation slide at the 2016 American Association of Periodontists Annual Session.
Note " Key Question: Dose Alveolar Bone Bend? " (Clearly from photos, the answer is no.)
resorbs to comport to the new position
of the expanded root. If re-treatment
is considered, this case is signifi cantly
more complex, limiting this patient's
orthodontic options.
5 Lawyers will use CBCT to
show potential damage in the
absence of gingival recession.
I am sure I don't need to remind
anyone how lawyers operate and the
herd mentality of " follow-the-money
lawsuits. " All you have to do is think
back to the 1980s, when there was
a plethora of TMD-/orthodonticrelated
lawsuits.
Does anyone think the legal profession
would hesitate to fi le plaintiff
claims related to CBCT visualization
of OID in the absence of tissue recession?
If our periodontal colleagues are
already making these exact claims
(Fig. 6), how long before the attorneys
make use of this information?
In summary, I believe CBCT provides
additional information that will
ultimately benefi t our orthodontic
patients. However, this additional
Dr. Jeff rey Miller is an orthodontist in private practice in Maryland
who speaks both nationally and internationally on CBCT topics
related to orthodontics. Email: dr.miller@orthodonticassoc.com
APRIL 2023 | 44 | ORTHOTOWN.COM
information not only challenges traditional
orthodontic theory but also
adds additional complexities to our
treatments-complexities that could
remove the perception that orthodontic
treatment is simply a mechanical
skill to align clinical crowns.
As orthodontists, we do not practice
dentistry in a vacuum; we share
patients with other dental specialties
and general dentists. At some point
in the near future, the orthodontic
patients of today will have a CBCT
scan taken, and this scan can be an
additional evaluator for long-term
successful outcomes.
It is my humble opinion that once
the dental community begins to realize
the potential damage of focusing
only on the mechanical alignment
of the clinical crowns without any
consideration for the root position and
alveolar housing, orthodontics will
return to the specialty arena where it
belongs. OT
Reference
1.
Sun L, Zhang L, Shen G, et al. Accuracy of cone-beam
computed tomography in detecting alveolar bone
dehiscences and fenestrations. Am J Orthod Dentofacial
Orthop. 2015; 147(3):313-323.
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Orthotown April 2023
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