Combined orthodontic and periodontic therapy in a patient with Papillon-Lefèvre syndrome

Orthodontic Treatments of Papillon-Lefevre Syndrome: Two Case Reports

“…However, there are several reported cases in which follow-up of well-planned orthodontic treatment combined with a periodontal regimen resulted in successful maintenance of a healthy dentition. [15][16][17] In the present case reports, the patients were in the late mixed dentition period with mild to moderate crowding along with mild generalized bone loss and a deep overbite. A deep overbite is traumatic to gingival tissue, and could cause occlusal trauma to the upper anterior teeth and loss of periodontal support.…”

“…18 Limited information is available in the literature regarding combined treatment of orthodontic tooth movement and periodontal treatment. [15][16][17] To our knowledge, the cases presented here are two of the few cases to be published about combined periodontal-orthodontic treatment for patients with PLS. The aim in presenting these cases is to demonstrate the possibility of creating space for the permanent teeth to erupt, and of stabilizing the occlusion in young PLS patients until they reach full arch development under a strict periodontal treatment protocol.…”

“…14 Previous studies have shown that at the active stage of periodontitis, it is possible to arrest further periodontal destruction with early treatment and preventive measures. [15][16][17] These comprise oral hygiene instruction, the use of mouthwashes, frequent scaling and debridement, the use of planned multiple systemic antibiotic regimens, periodontal surgery, and extraction of hopeless teeth. 18 Limited information is available in the literature regarding combined treatment of orthodontic tooth movement and periodontal treatment.…”