title: Periodontal management in orthognathic surgery: early screening of periodontal risk and its current management for the optimization of orthodontic and surgical treatments.
abstract: Orthodontic preparation for orthognathic surgery requires correcting mal-occlusions and coordination of arcades. In addition to improving the aesthetics, these treatments can ensure the achievement and sustainability of prosthetics and/or implants. Nevertheless, periodontal structures are easily damaged. Orthodontic displacement can only be applied in the absence of inflammation or weakened periodontal structure. An early detection of periodontal risk should be achievable by prescribers of a surgical-orthodontic treatment. Simplified periodontal examination, with easily detectable warning signs, will help to identify the periodontal risk. Although periodontal treatment follows current "non invasive" trend, some procedures remain necessary to prevent and/or remedy periodontal defects or diseases, such as mineral periodontal reinforcement corticotomy. It is essential that the patient meets all the practitioners to plan and assess the extent of the constraints necessary to optimize results, before starting orthodontic treatment combined with orthognathic surgery. Any periodontal complication (even minor) will be considered as a failure, regardless of good aesthetic and functional results.
authors.affiliation: Service de stomatologie de chirurgie maxillo-faciale et chirurgie plastique de la face, centre hospitalier Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France.
authors.forename: B
authors.initials: B
authors.lastname: Straub
authors.affiliation: Service de stomatologie de chirurgie maxillo-faciale et chirurgie plastique de la face, centre hospitalier Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France. Electronic address: pierre.bouletreau@chu-lyon.fr.
authors.forename: P
authors.initials: P
authors.lastname: Bouletreau
authors.affiliation: Service de stomatologie de chirurgie maxillo-faciale et chirurgie plastique de la face, centre hospitalier Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France.
authors.forename: P
authors.initials: P
authors.lastname: Breton
mesh_terms: D042241:Early Diagnosis; D006801:Humans; D057909:Orthognathic Surgery / Q000379:methods* / Q000592:standards; D010347:Patient Care Planning; D010510:Periodontal Diseases / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D011300:Preoperative Care / Q000379:methods*; D012017:Referral and Consultation; D012307:Risk Factors
keywords: Chirurgie orthognathique; Orthodontics; Orthodontie; Orthognatic surgery; Parodonte; Periodontium