SECONDARIES PROBLEMS OF ORAL MUCOSA DURING ORTHODONTIC TREATMENT

Introduction In the recent years, there was an increase in the number of people, adults and children, who undergo orthodontic therapy, probably since the modern innovations that have characterized the field of orthodontics, which allow us to offer orthodontic devices acceptable from an aesthetic and functional point of view. Objectives In this work, we want to focus on the possible consequences that may occur in the soft tissues during orthodontic treatment, which often are a source of alarm among patients and parents. In addition, it wants to raise awareness about this the orthodontists colleagues to reckon with problematics that may occur during the course of treatment. The orthodontic movements are the result of forces that are applied to the teeth and that are produced by equipment such as brackets, wires, strings, elastic bands and springs. Patients undergoing orthodontic treatment have increased risk of oral problems such as plaque formation, white lesions, gingivitis, oral mucosal lesions (traumatic ulcers, aphthous, hyperkeratosis). Discussions The data obtained from the literature and clinical experience, the most common problems to the oral mucosa that can be encountered in the course of orthodontic treatment include: traumatic injuries of various kinds, pseudocysts lesions of the salivary glands (mucocele, ranula), gingival hypertrohpy, allergic reactions to materials, frictional hyperkeratosis. Conclusions Orthodontic treatment involves a higher risk of oral mucosal lesions and implies a greater awareness of better oral hygiene. Oral hygiene instruction and early treatment of oral lesions are important considerations for better motivation of the patient, treatment planning and the successful outcome. It is important that the doctor follow in a continuous manner the state of health of the teeth and its associated structures, in order to ensure an optimal result for the same treatment, without incurring any unpleasant complications.