Interdisciplinary orthodontic treatment for a patient with generalized aggressive periodontitis: Assessment of IgG antibodies to identify type of periodontitis and correct timing of treatment

Ishihara, Yoshihito; Tomikawa, Kazuya; Deguchi, Toru; Honjo, Tadashi; Suzuki, Kôji; Kono, Takashi; Kuboki, Takuo; Kamioka, Hiroshi; Takashiba, Shogo; Yamashiro, Takashi

doi:10.1016/j.ajodo.2014.09.022

Cited by 14 publications

(13 citation statements)

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“…[4] Advices include use of proper periodontal examination, a blood IgG antibody titer analysis and microbiologic examination for periodontal pathogens during diagnosis of periodontitis. [17] Ishihara et al . recommended use of the above-mentioned criteria to determine the correct timing of initiation of orthodontic treatment in aggressive periodontitis.…”

Section: Discussionmentioning

confidence: 99%

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Aggressive periodontitis with a history of orthodontic treatment

Gupta

Ramachandra

2019

J Indian Soc Periodontol

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This report presents a 29-year-old aggressive periodontitis patient from Morocco with a history of orthodontic treatment. Despite all the first molars showing advanced bone loss, the maxillary anterior teeth did not show any periodontal destruction. The scientific literature rarely reports cases of aggressive periodontitis without involving maxillary anterior teeth. The treatment provided includes extraction of hopeless tooth, removal of overhanging restoration, scaling, root debridement, and regenerative periodontal therapy. The discussion highlights the dilemma during diagnosis of the case as either “iatrogenic periodontitis due to orthodontic treatment” or “localized aggressive periodontitis.” The age group of 15–35 years is the common age group for patients' seeking orthodontic treatment and the occurrence of aggressive periodontitis. Sound knowledge of periodontitis and identification of early signs of aggressive periodontitis through meticulous periodontal examination may help in earlier identification and minimalistic treatment. Education regarding periodontitis, especially aggressive periodontitis, is essential among orthodontists and general dentists. This case report aims to discuss the dilemma involved during diagnosis of localized aggressive periodontitis.

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Section: Discussionmentioning

confidence: 99%

“…recommended use of the above-mentioned criteria to determine the correct timing of initiation of orthodontic treatment in aggressive periodontitis. [17]…”

Section: Discussionmentioning

confidence: 99%

Aggressive periodontitis with a history of orthodontic treatment

Gupta

Ramachandra

2019

J Indian Soc Periodontol

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“…Further, serum IgG titer test against each pathogenic bacterium can be done with ELISA as the serum level of IgG directly correlates with the number of pathogenic bacteria in the periodontium [29]. Elimination of bacteria from the periodontal pockets can be assessed with this test which is useful for determining the optimal timing to start orthodontic treatment [30]. Any clinical signs of aggressive periodontal disease like attachment loss, pockets, and bone loss when found should be consulted with a periodontist for appropriate care.…”

Section: Role Of Orthodontist In the Management Of Aggressive Perimentioning

confidence: 99%

Orthodontic Management in Aggressive Periodontitis

Gyawali

Bhattarai

2017

International Scholarly Research Notices

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Aggressive periodontitis is a type of periodontitis with early onset and rapid progression and mostly affecting young adults who occupy a large percentage of orthodontic patients. The role of the orthodontist is important in screening the disease, making a provisional diagnosis, and referring it to a periodontist for immediate treatment. The orthodontist should be aware of the disease not only before starting the appliance therapy, but also during and after the active mechanotherapy. The orthodontic treatment plan, biomechanics, and appliance system may need to be modified to deal with the teeth having reduced periodontal support. With proper force application and oral hygiene maintenance, orthodontic tooth movement is possible without any deleterious effect in the tooth with reduced bone support. With proper motivation and interdisciplinary approach, orthodontic treatment is possible in patients with controlled aggressive periodontitis.

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“…O periodonto compreende os tecidos de proteção e de sustentação do elemento dentário, sendo composto por gengiva, cemento radicular, ligamento periodontal e osso alveolar (KINANE, 2017).…”

Section: Introductionunclassified