PERIO DIAGNOSTICS AND THERAPY BEFORE, DURING AND AFTER ORTHO TREATMENT

Periodontal examination before orthodontic treatment is very important. Mucogingival conditions, bone defects and periodontal diagnosis should be taken into consideration in the decision-making process. Interdisciplinary evaluation by the periodontist and the orthodontist is necessary in order to prevent periodontal problems and complications of existing problems. Orthodontic forces should be balanced/reduced based on the remaining attachment level.
In case of secondary tooth migration any orthodontic treatment should be considered only after achieving periodontal health. These malpositions are often associated with intraosseous lesions which are indicated for regenerative procedures. Biological healing after GTR is similar to bone remodeling during orthodontic treatment. Therefore, only interdisciplinary approach can provide optimal clinical result. Adequate perio diagnostic and therapy before, during and after ortho treatment can guarantee long-term clinical success and stability.

Adriana Iossifova, Founder and President of the Bulgarian Society of Periodontology and Oral Implantology

Dr Adriana Iossifova is founder and president of the Bulgarian Society of Periodontology and Oral Implantology. She completed her dental education at Medical academy – Sofia in 1983. She obtained specialty in General dentistry in 1987. She obtained specialty “Implantology – surgery and implant prosthetics” at Diderot-Paris 7 University from 1991 to 1994. She obtained specialty “Periodontology” at René Descartes-Paris 5 University from 1996 to 2000. Member of the European Federation of Periodontology and the French Society of Periodontology and Oral Implantology. Since 1995 she has been working in collaboration with orthodontists and has extensive practice and substantial experience in ortho-perio treatments.

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Zlatin Milchev

Dr Zlatin Milchev graduated dental medicine at the Medical University of Sofia in 2014. Currently he is resident in the Periodontology Department, Faculty of Dental Medicine, Medical University - Sofia. Since 2014 he has been working in a private practice. The focus of his work has been periodontal treatment of patients undergoing orthodontic treatment. Member of the Bulgarian Society of Periodontology and Oral Implantology.