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SRP and Ortho

I have a new patient who had ortho placed in Saudia Arabia 4 years ago and has not had a cleaning in 5+ years. He needs full mouth SRP due to heavy buildup on all surfaces. In addition the gums are very, very inflamed. He hasn’t been able to find an orthodontist to remove his braces. Any tips on performing SRP on full ortho?



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2 Answers

I’m not entirely certain why your patient isn’t able to find a doctor that will remove his braces. The first ortho office I called said they could do this! They would just need the patient to come in for a complementary consult and would need the contact number of the doctor who placed the ortho in Saudia Arabia. Does your office have an orthodontist you refer to? It would be most beneficial to you and the patient to at least have the archwire removed for access and adaptation purposes.

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I have had two patients in the past that also had issues with finding a dentist or orthodontist who would remove their ortho. You could tell the brackets had been on for years and years….yet no one would remove. Never understood this. One pulled the brackets off and all the bonding was still there and stained.
TO THE QUESTION: It will be very tedious to try to S/RP with full bands, brackets and wires on. I would refer to Periodontist.

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