Orthodontic Treatment Considerations for Patients with Bisphosphonate History and Aligners around Implants

How long should you wait after a root canal before starting Orthodontics? Should we be scared of orthodontic movement in those taking bisphosphonates? How do you decide if diastemas should be closed restoratively or orthodontically? Dr Daniel Neves answers every one of the questions and several more sent in from the Protrusive Community These questions are the tricky case-specific ones we ponder about and crave guidelines for - straight talking Dr Neves makes it all tangible. https://youtu.be/ZufVChjEJk4 Watch PDP186 on Youtube Protrusive Dental Pearl: Retention is not a ‘one and done’ process. It should be customised for the individual and maintained appropriately - including at every routine check up. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:04:40 Protrusive Dental Pearl05:53 Introduction to Dr Daniel Neves 12:16 Reducing the Risk of Relapse17:20 Anterior Diastema21:47 Temporary Anchorage Devices (TADs)26:20 Jaw Issues in Adults29:20 Root Resorption34:25 Recession Cases38:00 Timing of Orthodontics after Root Canal Treatment39:39 Bisphosphonates and Orthodontics40:16 Aligners around Implants42:22 Final Thoughts If you liked this episode, you will also like GDP Alignment vs Specialist Orthodontics [STRAIGHTPRIL] – PDP068 Click below for full episode transcript: Jaz's Introduction: It's May 2024. May the force be with you. That's the theme of this month. Whilst I've got episodes on all different sorts of topics like we usually do on Protrusive, we're starting off with this orthodontics podcast. And let me tell you, if there's one episode you've listened to on Protrusive around the theme of orthodontics, make it that. Jaz's Introduction:This one, we cover such a great breadth of topics with my guest, Dr. Daniel Neves. We were actually recording. We actually sat on a sofa watching the sunset in Valencia, Spain, while we were recording this podcast. It's a special one is a great energy, great wisdom from our guests. So I'm really excited to share this with you. Look, the kind of themes that we cover is get my notebook out. The kind of themes you cover are anterior crossbites in children. This is actually what stemmed this podcast. Me and my colleague Suzy, we were feeling pretty bummed because we saw this kid, I think he was like eight or nine years old, and he had an anterior crossbite. And we thought, wow, this is really suitable. We think this would be a great case for an orthodontist within our publicly funded system in the UK to do some interceptive treatment for this anterior crossbite. And we were bummed because the orthodontist declined it. The orthodontist said, let's wait until age 12. Let's wait for all the teeth to come through and then refer this back. And I was really left scratching my head like, Hmm, hang on a minute. I'm pretty sure an anterior crossbite is an indication for early treatment. So let's find out what Dr. Daniel Neves had to say about that. We also at the end talk about root resorption. What if you have root resorption? How big of a problem actually is that for our patients? And then what if they experience some relapse and they want to have some aligners? Is it safe to do aligners and little minor movements on patients who have suffered with root resorption? Another one we covered. Again, all these questions are from you guys, the Protrusive Dental Community on our app, Protrusive Guidance. It's been so great to engage with a Protruserati. And so the question was bisphosphonates. What do you do with patients on bisphosphonates when you're considering orthodontics? What about doing aligners with someone who already has implants? What extra precautions or measures should we be looking at? What about fixed retention? Is it actually forever? Is there a time where we should perhaps consider removing that fixed retention or changing it up? We also discuss diastema.