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Periodontal Augmentation Procedures for the Orthodontic Patient

CE Credits: 1.5 Hour(s)
Intended Audience: Dentists, Specialists, Expanded Function Dental Assistants, Dental Hygienists, Dental Students
Date Course Online: February 8, 2021
Last Revision Date: N/A
Course Expiration Date: February 8, 2022
Cost: FREE to view (does not include continuing education credits); Registration is still required.
To receive continuing education credits:
Dentist, $37.50
Penn Dental Medicine Alumni, $28.00
Military, $28.00
Method: Self-instructed
Register: Click Here »

Course Description

Maxillary transverse deficiency is a common problem in orthodontics. It could be skeletal and/or dental origin and is often manifested by unilateral or bilateral posterior cross bite. Clinically, the skeletal width of maxilla and mandible, the intermolar width and the buccolingual inclination of maxillary and mandibular posterior teeth (curve of Wilson) are the key factors on the diagnosis of transverse problems. In this lecture, the transverse growth of maxilla and mandible, and the transverse development of the dentitions will be discussed. In the treatment of transverse problems, rapid palatal expansion (RPE) is often used in children, and TADs supported RPE in young adult. However, for older adults, the surgically assisted rapid palatal expansion would be a better choice not only to expand the maxilla successfully but also provide good stability. In this lecture, the state-of-the-art diagnosis and treatment modalities on the transverse problems will be presented.


Review of the orthodontic and periodontal literature related to the periodontal consequences of excessive dental compensations to camouflage skeletal discrepancies. The case presentation format will address the indications and timing of periodontal augmentation procedures for orthodontic patients with sagittal and transverse skeletal dysplasias.

Learning Objectives
  • Identify the limits of dental compensations to camouflage skeletal dysplasia to avoid loss of periodontal attachment.
  • Know when to refer an orthodontic patient to the periodontist for augmentation procedures

Normand S. Boucher, DDS is a board certified orthodontist. He trained in orthodontics and periodontics at the University of Pennsylvania. Dr. Boucher was appointed Chief of Orthodontics at Thomas Jefferson University Hospital from 1982-1987. He subsequently established a full-time private practice in Wayne and Westtown in 1987. His teaching responsibilities with the orthodontic department at the University of Pennsylvania reflect the values of his private practice and include teaching diagnosis and treatment planning for the Six Elements of Orofacial Harmony Orthodontics Philosophy with strong emphasis on the health of the temporomandibular joints.

ADA Cerp

University of Pennsylvania School of Dental Medicine is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

University of Pennsylvania School of Dental Medicine designates this activity for 1.5 continuing education credits.

Continuing Education

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