A Case of Orthodontic Treatment for Generalized Aggressive Periodontitis

Abstract

Aggressive periodontitis mostly affects young people, causing rapid destruction of periodontal tissue and loss of supporting alveolar bone. The destruction of periodontal tissue induces pathological tooth movement, resulting in various types of malocclusion such as crowding or spacing in the dentition. This report describes orthodontic treatment for malocclusion due to generalized aggressive periodontitis. The patient was a 31-year-old woman who presented with the chief complaint of displacement in the anterior teeth. An oral examination revealed pathological tooth mobility throughout the entire oral cavity due to severe loss of periodontal support. Many gaps in the displaced maxillary anterior teeth and crowding in the mandibular anterior teeth were also observed. The goal of subsequent treatment was to achieve ideal overjet and overbite by aligning the teeth and closing the spaces via non-extraction orthodontic treatment with stripping. The periodontal disease was managed by a periodontist who provided guidance on oral hygiene and periodontal disease control throughout the course of orthodontic treatment. Appropriate occlusion and a good oral environment were achieved. The condition of the periodontal tissue stabilized during and after orthodontic treatment, and favourable occlusal stability was observed at the 2-year follow-up examination.

Study on the Effects of Orthodontics on Anterior Tooth Displacement in Patients

“…Currently, the main treatment options for anterior tooth displacement due to periodontal disease include conventional periodontal therapy, medication, periodontal tissue regeneration, and surgery. Previous studies have shown that it is di cult to achieve the desired clinical outcome using conventional treatment [4]. Orthodontic treatment is used clinically in patients with anterior tooth displacement.…”

Efectos de los tratamientos de ortodoncia en los tejidos periodontales

“…Attia et al 20 visualizaron resultados regenerativos favorables después del tratamiento de ortodoncia en comparación con un enfoque diferido después de 2 meses Además, se cree que el movimiento dental de ortodoncia crea una inflamación transitoria en la pulpa y que la pulpa se recupera durante el tiempo necesario para crear extensa reabsorción radicular. 21 Se ha vinculado la reabsorción radicular de 1 a 3 mm en la intrusión de incisivos en pacientes adultos que muestran pérdida de hueso marginal y sobremordida profunda. Reichert C. et al, 21 en su trabajo en pacientes de 12 años, indicaron que la ortodoncia ya no es…”

“…21 Se ha vinculado la reabsorción radicular de 1 a 3 mm en la intrusión de incisivos en pacientes adultos que muestran pérdida de hueso marginal y sobremordida profunda. Reichert C. et al, 21 en su trabajo en pacientes de 12 años, indicaron que la ortodoncia ya no es…”

Kieferorthopädische Therapie im parodontal kompromittierten Gebiss – Herausforderungen, interdisziplinäre Therapie und Grenzen

“…Die kieferorthopädische Phase muss durch eine stetige Kontrolle der Mundhygiene und des Parodontalstatus durch den Pardodontologen begleitet werden 44 . Hierbei sollte, um den entzündungsfreien Zustand während der Therapie aufrechtzuerhalten, eine regelmäßige Mundhygieneinstruktion sowie eine professionelle Reinigung erfolgen.…”