Combined Orthodontic‐Periodontal Treatment of an Infrabony Defect: A Case Report

Kazandjian, Gregory; Scopp, Irwin Walter; Stahl, S. S.

doi:10.1902/jop.1979.50.9.479

Cited by 6 publications

(5 citation statements)

References 9 publications

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Section: The Relationship Of Regenerative Treatment To Endodontic Andmentioning

confidence: 99%

“…Case series/reports have documented improvement of intrabony defects with orthodontic tooth movement alone, including bodily movement into intrabony defects; 169,172,173 extrusive movement, such as a mesially tilted tooth with 1‐ or 2‐wall intrabony defect; 168,170,171 and orthodontic intrusion 174‐176 . Moreover, case reports suggest no adverse effects of orthodontic movement of teeth that had previously undergone regenerative therapy for intrabony defects 178‐180 …”

Section: The Relationship Of Regenerative Treatment To Endodontic Andmentioning

confidence: 99%

“…In reviewing the relationship between regenerative treatment and orthodontic treatment, there are several case reports/series describing the treatment of intrabony defects by means of orthodontic therapy, alone or in combination with periodontal therapy. [168][169][170][171][172][173][174][175][176] Additionally, one RCT was identified that evaluated the effect of periodontal regeneration combined with orthodontic treatment on clinical parameters in intrabony defects as discussed below. 177 Case series/reports have documented improvement of intrabony defects with orthodontic tooth movement alone, including bodily movement into intrabony defects; 169,172,173 extrusive movement, such as a mesially tilted tooth with 1-or 2-wall intrabony defect; 168,170,171 and orthodontic intrusion.…”

Section: The Relationship Of Regenerative Treatment To Endodontic Andmentioning

confidence: 99%

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Periodontal Regeneration – Intrabony Defects: A Systematic Review From the AAP Regeneration Workshop

Kao¹,

Nares

Reynolds

2015

Journal of Periodontology

236

228

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Background: Previous systematic reviews of periodontal regeneration with bone replacement grafts and guided tissue regeneration (GTR) were defined as state of the art for clinical periodontal regeneration as of 2002.Methods: The purpose of this systematic review is to update those consensus reports by reviewing periodontal regeneration approaches developed for the correction of intrabony defects with the focus on patient-, tooth-, and site-centered factors, surgical approaches, surgical determinants, and biologics. This review adheres to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for systematic reviews.A computerized search of the PubMed and Cochrane databases was performed to evaluate the clinically available regenerative approaches for intrabony defects. The search included screening of original reports, review articles, and reference lists of retrieved articles and hand searches of selected journals.All searches were focused on clinically available regenerative approaches with histologic evidence of periodontal regeneration in humans published in English. For topics in which the literature is lacking, non-randomized observational and experimental animal model studies were used.Therapeutic endpoints examined included changes in clinical attachment level, changes in bone level/fill, and probing depth. For purposes of analysis, change in bone fill was used as the primary outcome measure, except in cases in which this information was not available. The SORT (Strength of Recommendation Taxonomy) grading scale was used in evaluating the body of knowledge.Results: 1) Fifty-eight studies provided data on patient, tooth, and surgical-site considerations in the treatment of intrabony defects. 2) Forty-five controlled studies provided outcome analysis on the use of biologics for the treatment of intrabony defects.Conclusions: 1) Biologics (enamel matrix derivative and recombinant human platelet-derived growth factor-BB plus b-tricalcium phosphate) are generally comparable with demineralized freezedried bone allograft and GTR and superior to open flap debridement procedures in improving clinical parameters in the treatment of intrabony defects. 2) Histologic evidence of regeneration has been demonstrated with laser therapy; however, data are limited on clinical predictability and effectiveness. 3) Clinical outcomes appear most appreciably influenced by patient behaviors and surgical approach rather than by tooth and defect characteristics. 4) Long-term studies indicate that improvements in clinical parameters are maintainable up to 10 years, even in severely compromised teeth, consistent with a favorable/good long-term prognosis. J Periodontol 2015;86(Suppl.):S77-S104.

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Section: The Relationship Of Regenerative Treatment To Endodontic Andmentioning

confidence: 99%

Section: The Relationship Of Regenerative Treatment To Endodontic Andmentioning

confidence: 99%

Section: The Relationship Of Regenerative Treatment To Endodontic Andmentioning

confidence: 99%

See 1 more Smart Citation

Periodontal Regeneration – Intrabony Defects: A Systematic Review From the AAP Regeneration Workshop

Kao¹,

Nares

Reynolds

2015

Journal of Periodontology

236

228

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“…12,13,14 Molar uprighting, besides an obvious improvement of the prosthetic treatment plan, frequently reduces or eliminates the periodontal defect without any need for regenerative periodontal therapy. 15,16,17 Cirelli, et al concluded that orthodontic movement did not interfere with the healing process of one-walled intraosseous periodontal defects specifically for the following parameters: connective tissue attachment levels, apical extent of epithelial migration, and new cementum formation. 10 Polson, et al 13 and Lindskog-Stokland, et al 18 found similar results in their investigation of tooth movement towards periodontal defects.…”

Section: Orthodontic Treatment Of Periodontal Defectsmentioning

confidence: 99%

Sensitivity comparison evaluation of computer-generated three dimensional surface topography to conventional maxillofacial radiographic imagery

Hazey¹,

Michael²

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Objectives: LumenIQ's ImageIQ software enhances conventional radiographs by adding 3-D depth. This study evaluated whether a preference exists for ImageIQ format versus conventional radiographs, determined whether ImageIQ format is as sensitive as 2-D radiographs when detecting existing periodontal defects and simulated periodontal defects. Methods: 34 dental practitioners compared 12 radiographic cases with ImageIQ format. A panel of evaluators classified periodontal defects from 2-D radiographs and ImageIQ images. Simulated periodontal defects were radiographed with various radiographic variables altered, converted to ImageIQ 3-D format, and measured to evaluate the ImageIQ format compared to the 2-D control. Results: ImageIQ format showed improved image clarity and detail over the 2-D. Changes in x-ray beam exposure time, beam angulation, and bone quality had no effect on the ImageIQ format. ImageIQ format improved the accuracy of periodontal defect classification by 14.3% over 2-D. Conclusions: ImageIQ may provide a reliable diagnostic alternative to conventional two-dimensional radiographs. Dr. Peter Ngan, for all that he brings to this program, encouraging us to learn all disciplines in this profession, for making this program fun and exciting to come to everyday. Dr. Chris Martin, for being a wonderful clinic director and friend, easy to approach and easy to discuss issues with, you make the clinic a learning atmosphere that can not be compared. Drs. Reed, Kao, Razmus, and Crout, for your unique insight and ideas on my project and for spending the individual time away from work to help me with my thesis. Drs. Hornbrook, Veselicky, and Keys, for so graciously giving your precious time to be evaluators on an integral part of my thesis. Dr. Stan Wearden, for you tireless statistical help and willingness to rerun the numbers many times.

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“…11,12 Molar uprighting, frequently reduces or eliminates the periodontal defect without any need for regenerative periodontal therapy. [13][14][15] Cirelli, et al concluded that orthodontic movement did not interfere with the healing process of one-walled intraosseous periodontal defects. 9 Polson, et al 12 and Lindskog-Stokland, et al 16 found similar results in their investigation of tooth movement towards periodontal defects.…”

Section: Orthodontic Treatment Of Periodontal Defectsmentioning

confidence: 99%

Efficacy of ultrasound imaging to detect periodontal bone defects

Sebbahi¹

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Objectives: Clinicians are always searching for a non-invasive method to diagnose periodontal defects. Two-dimensional radiographs are limited in the ability to describe a three-dimensional periodontal defect. Ultrasound has been used in dentistry for caries detection and enamel cracks diagnosis. Its non-ionizing radiation properties are attractive to clinical use in dentistry. The purpose of the present study is to investigate the efficacy of ultrasound imaging to accurately detect periodontal defects. Methods: Twenty mandibles with simulated defects of specific dimensions were imaged using ultrasound and measured. The measurements were compared to the actual defects and to 2-D radiographs measurements. A panel of three evaluators compared ultrasound images of simulated defects to 2-D radiographs of the same defects. 3-D reconstructed images of two mandibles with natural periodontal defects were compared to cone beam images of the same mandibles. Results: The results have shown that conventional radiographs were not accurate in imaging the posterior mandible, while measurements made from ultrasound images were accurate for both anterior and posterior mandibles. Measurements of the simulated defects from ultrasound images were accurate. The ultrasound images were rated favorably in image clarity, image detail, overall image quality and fatigue level in comparison to conventional radiographs and cone beam imaging Conclusions: These results suggest that ultrasound imaging may provide a reliable diagnostic alternative to conventional two-dimensional radiographs. Optimizing ultrasound technology for use in dentistry may increase interest in its use. Enough interest exists for further clinical evaluation. iii DEDICATIONS This thesis is dedicated to my daughter Layla , my husband and best friend Hani and my parents who have always encourage and support me. Thank you for your unwavering support and giving me the opportunity to learn and grow. I will always be grateful. iv ACKNOWLEDGEMENTS A special thanks are extended to the following individuals: Dr. Peter Ngan for your invaluable guidance, encouragement, and inspiration and for spending the individual time away from work to help me with my thesis. Dr. Ricahrd Crout for serving on my thesis committee and the exceptional editing. Your precious time to be evaluator on an integral part of my thesis was greatly appreciated. Dr. Harold Reed for serving on my thesis committee and your unique insight and ideas on my project and giving your precious time to be evaluator on an integral part of my thesis.

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Combined Orthodontic‐Periodontal Treatment of an Infrabony Defect: A Case Report

Cited by 6 publications

References 9 publications

Periodontal Regeneration – Intrabony Defects: A Systematic Review From the AAP Regeneration Workshop

Periodontal Regeneration – Intrabony Defects: A Systematic Review From the AAP Regeneration Workshop

Sensitivity comparison evaluation of computer-generated three dimensional surface topography to conventional maxillofacial radiographic imagery

Efficacy of ultrasound imaging to detect periodontal bone defects

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