Orthodontic treatment in a periodontal patient with pathologic migration of anterior teeth

Xie, Yun; Zhao, Qing; Tan, Zhi; Shu-liang, Yang

doi:10.1016/j.ajodo.2013.08.018

Cited by 20 publications

(19 citation statements)

References 20 publications

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“…This would lead to a more physiological frontal bone resorption and, therefore, to a quicker tooth movement. High forces could potentially interfere with the remodeling process [ 2 , 5 , 8 , 15 , 16 ]. This must be specially recalled because the aplastic cortical bone of adults normally shows delayed bone formation and regeneration [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

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Combined Periodontal, Orthodontic, and Prosthetic Treatment in an Adult Patient

Sabatoski

Bueno²,

Pacheco

et al. 2015

Case Reports in Dentistry

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A 41-year-old man had a significant loss of bone and supporting tissues with pathologic migration of several teeth and several missing teeth. He was treated with an interdisciplinary therapeutic protocol that included nonsurgical periodontal therapy based on strict control of supragingival plaque, subgingival periodontal therapy, orthodontic and endodontic treatment, and replacement of restorations. The orthodontic therapy was performed in a severely reduced bone support and the presence of pathological tooth migration after periodontal disease control. The interdisciplinary treatment protocol was the key to achieve a significant improvement in his facial and dental esthetics, masticatory function, and quality of life.

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Section: Discussionmentioning

confidence: 99%

“…Mutual aggravation of periodontitis and occlusal trauma can be prevented by treatment. The improvement of facial esthetics contributed to the self-confidence of an adult periodontal patient with pathologic tooth migration [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Combined Periodontal, Orthodontic, and Prosthetic Treatment in an Adult Patient

Sabatoski

Bueno²,

Pacheco

et al. 2015

Case Reports in Dentistry

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“…The orthodontic treatment objectives were built on the complete treatment objectives for periodontal health (Xie et al, 2014).…”

Section: Extraction Of the Upper Central Incisorsmentioning

confidence: 99%

“…Reassessment was made for all the periodontal parameters and ensured stable. The full-mouth plaque index was targeted to be within 25%, the full-mouth percentage of positive bleeding on probing sites less than 30%, and no residual pockets deeper than 5 mm (Xie et al, 2014). iii) Patient was referred to the orthodontist and restorative specialist to achieve stable occlusion and restore aesthetics (Azouni & Tarakji, 2014).…”

Section: Extraction Of the Upper Central Incisorsmentioning

confidence: 99%

Orthodontic treatment of an adult patient with aggressive periodontitis – A case report

Makhbul¹,

Shapeen

Hassan

2020

IJOHS

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A 26-year-old man with an aggressive periodontitis sought for orthodontic treatment to improve the appearance of his smile. He presented with generalised anterior spacing, missing lowerleft central incisor and deep traumatic bite. He was treated successfully with a combination of orthodontic and periodontal treatment. After 18 months of orthodontic treatment and follow upby the periodontist, his alignment of teeth was improved, a stable occlusion was achieved, and occlusal trauma was prevented. As a result, the patient’s smile appearance and selfconfidence were improved. Orthodontic tooth movement is not only to correct the alignment of his teeth but also to improve the bone level especially at the anterior region. This case report shows the successful treatment outcome in aggressive periodontitis patient which requires good collaboration between the orthodontist and the periodontist.

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“…It is well known that orthodontics can promote the alignment of the teeth in order to facilitate buccal hygiene and the maintenance of periodontal health, improving the slopes of the teeth and the occlusion and thus distributing the masticatory loads more evenly. It has been reported that the resorption of alveolar bone can be prevented and that the multidisciplinary orthodontic treatment of periodontal patients with pathologic tooth migration is effective and helpful 4 .…”

Section: Introductionmentioning

confidence: 99%

Influence of bone loss and inclination of incisor on periradicular stresses due to simulated bite force

Rodrigues

Cortelli

Claro

et al. 2018

Rev. odontol. UNESP

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Introduction Adults with sequelae of periodontal disease tend to have bone loss, with consequent flaring of the maxillary incisors. Objective The influence of bone loss and the inclination of the maxillary incisor in the distribution of stresses due to simulated bite forces was studied. Material and method Models in epoxy resin were made in three conditions (without bone loss and with bone loss of 5mm and 8mm). Increases in the labial inclination of the maxillary incisor of 10° and 20° were obtained with a beveled metallic block. Loads of 100N were applied five times in each condition using a universal test machine. The models were observed and filmed with a circular polariscope. Orders of isochromatic fringes (stresses) on the labial, lingual, and apex surfaces were recorded. The agreement of the data was evaluated using the weighted kappa test, and the results were 0.89 and 0.82 for intra- and inter-examiners, respectively. Result The results of the Kruskal–Wallis and SNK tests indicated higher stresses (2.0) with increased labial inclination in the labial surface; higher stresses (2.67) with increased bone loss; higher greater stresses with the association of bone loss and labial-inclination (3.6); and the highest stresses tended to concentrate on the labial surfaces, except in cases of normal inclination and without bone loss (0.45). Conclusion It was concluded that increases in both the labial inclination of the maxillary incisors and bone loss increase periradicular stresses, and the combination of these factors further increases the stresses due to bite forces, with the highest concentration on the labial side.

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Orthodontic treatment in a periodontal patient with pathologic migration of anterior teeth

Cited by 20 publications

References 20 publications

Combined Periodontal, Orthodontic, and Prosthetic Treatment in an Adult Patient

Combined Periodontal, Orthodontic, and Prosthetic Treatment in an Adult Patient

Orthodontic treatment of an adult patient with aggressive periodontitis – A case report

Influence of bone loss and inclination of incisor on periradicular stresses due to simulated bite force

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