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  • RISK FACTORS ARISING FROM NORMAL BIOLOGICAL PROCESSES

    PERIODONTAL DISEASE

    The health of the bones and gums which support the teeth may be affect-ed by orthodontic tooth movement if a condition of gum disease already exists, and in some rare cases where the condition does not appear to exist. In general, orthodontic treatment lessens the possibility of tooth loss and gum infection by improving the bite.

    ROOT RESORPTION

    In some patients, the roots of the teeth may be shortened during ortho-dontic treatment. This root resorption is usually not of significant conse-quence, but on occasion it may affect it may affect the longevity of the teeth involved.

    PRE-EXISTING NON-VITAL OR TRAUMATIZED TEETH

    Sometimes a tooth may have been traumatized by a blow or have large fillings that cause damage to the nerve. In these cases, orthodontic treat-ment may aggravate the need for root canal treatment.

    TEMPORO-MANDIBULAR JOINT (TMJ)

    The TMJ is the sliding hinge connecting the upper and lower jaws. If a TMJ disorder exists, orthodontic treatment may help remove the dental causes of the problem, but not non-dental causes. In some cases, TMJ problems first become evident during or after orthodontic treatment; symptoms include joint pain, headaches, or ear problems.

    INDIVIDUAL GROWTH PATTERNS

    Occasionally, unexpected or abnormal changes in the growth of the jaws or in the shape and size of the teeth may limit our ability to achieve the desired results. If growth becomes disproportionate, the bite may change and additional treatment may be needed. In some cases of growth dishar-mony, surgery may be advised to achieve optimal results.

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