Interest in orthodontic tooth alignment in adult patients affected by periodontitis: A questionnaire‐based cross‐sectional pilot study

Hirschfeld, Josefine; Reichardt, Elisabeth; Sharma, Praveen; Hilber, Anna; Meyer-Marcotty, Philipp; Stellzig‐Eisenhauer, Angelika; Schlagenhauf, Ulrich; Sickel, Franka E

doi:10.1002/jper.18-0578

Cited by 29 publications

(31 citation statements)

References 38 publications

(38 reference statements)

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Stage IV periodontitis is characterized by severe periodontal attachment loss, vertical bone loss and pathologic tooth migration (PTM) (Brunsvold, 2005), requiring complex rehabilitation due to masticatory dysfunction, secondary occlusal trauma, bite collapse, and drifting and flaring of the remaining teeth (Papapanou et al 2018;Tonetti & Sanz, 2019). Many patients affected by such a condition are interested in orthodontic treatment because of the aesthetic and functional changes caused by PTM, as shown by a recent survey (Hirschfeld et al 2019). If the periodontal inflammation remains uncontrolled during the orthodontic treatment this will accelerate the progression of periodontal destruction leading to further loss of attachment (Wennström et al, 1993).

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mentioning

confidence: 99%

Regenerative periodontal surgery and orthodontic tooth movement in stage IV periodontitis: A retrospective practice‐based cohort study

Tietmann¹,

Bröseler²,

Axelrad³

et al. 2021

J Clinic Periodontology

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Stage IV periodontitis is characterized by severe periodontal attachment loss, vertical bone loss and pathologic tooth migration (PTM) (Brunsvold, 2005), requiring complex rehabilitation due to masticatory dysfunction, secondary occlusal trauma, bite collapse, and drifting and flaring of the remaining teeth (Papapanou et al. 2018;Tonetti & Sanz, 2019). Many patients affected by such a condition are interested in orthodontic treatment because of the aesthetic and functional changes caused by PTM, as shown by a recent survey (Hirschfeld et al. 2019). If the periodontal inflammation remains uncontrolled during the orthodontic treatment this will accelerate the progression of periodontal destruction leading to further loss of attachment (Wennström et al., 1993). An interdisciplinary approach is therefore required to control the periodontal infection, reconstruct the defects and realign the migrated teeth

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“…

…”

mentioning

confidence: 99%

Regenerative periodontal surgery and orthodontic tooth movement in stage IV periodontitis: A retrospective practice‐based cohort study

Tietmann¹,

Bröseler²,

Axelrad³

et al. 2021

J Clinic Periodontology

View full text Add to dashboard Cite

Stage IV periodontitis is characterized by severe periodontal attachment loss, vertical bone loss and pathologic tooth migration (PTM) (Brunsvold, 2005), requiring complex rehabilitation due to masticatory dysfunction, secondary occlusal trauma, bite collapse, and drifting and flaring of the remaining teeth (Papapanou et al. 2018;Tonetti & Sanz, 2019). Many patients affected by such a condition are interested in orthodontic treatment because of the aesthetic and functional changes caused by PTM, as shown by a recent survey (Hirschfeld et al. 2019). If the periodontal inflammation remains uncontrolled during the orthodontic treatment this will accelerate the progression of periodontal destruction leading to further loss of attachment (Wennström et al., 1993). An interdisciplinary approach is therefore required to control the periodontal infection, reconstruct the defects and realign the migrated teeth

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“…It is estimated that 75% of the population in the United States have some degree of malocclusion and that an ever‐increasing number of adults are interested in having orthodontic treatment as part of the comprehensive dental care . In 2013, Keim et al.…”

Section: Discussionmentioning

confidence: 99%

Is periodontal phenotype modification therapy beneficial for patients receiving orthodontic treatment? An American Academy of Periodontology best evidence review

Wang

Mandelaris

et al. 2019

Journal of Periodontology

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Background Orthodontic treatment can greatly impact the periodontium, especially in dentitions with a thin periodontal phenotype. Orthodontic tooth movement can result into iatrogenic sequelae to these vulnerable anatomic conditions, such as development and exacerbation of bony dehiscence or fenestration defects, which can manifest loss of periodontal support and gingival recession (GR). This systematic review aimed to investigate whether periodontal phenotype modification therapy (PhMT) involving hard tissue augmentation (PhMT‐b) or soft tissue augmentation (PhMT‐s) has clinical benefits for patients undergoing orthodontic treatment. Methods An electronic search was performed in two major databases for journals published in English language from January 1975 to January 2019 and a hand search of printed journals was also performed to identify human clinical trials reporting clinical and radiographic outcomes of patients receiving orthodontic treatment with or without hard and soft tissue augmentation procedures. Data were extracted and organized into tables for qualitative assessment. Results Eight studies were identified evaluating the outcomes of PhMT in patients undergoing orthodontic therapy. Six studies evaluated patients receiving PhMT‐b via corticotomy‐assisted orthodontic therapy (CAOT) and simultaneous bone augmentation while the other two received PhMT‐s before tooth movement. No studies investigated PhMT‐b alone without CAOT and most studies focused on the mandibular anterior decompensation movements. There was high heterogeneity in the study design and inconsistency of the reported outcomes; therefore, a meta‐analysis was not performed. Evidence at this moment supports CAOT with hard tissue augmentation accelerated tooth movement. However, only two studies provided direct comparison to support that CAOT with PhMT‐b reduced the overall treatment time compared with conventional orthodontic treatment. No periodontal complications or evidence of severe root resorption were reported for both groups. Four studies provided radiographic assessment of the PhMT‐b and demonstrated increased radiographic density or thicker facial bone after the treatment. Two studies reported an expanded tooth movement. One study reported an increase in keratinized tissue width post‐CAOT plus PhMT‐b, while another study with a 10‐year follow‐up showed a lower degree of relapse using the mandibular irregularity index when compared with conventional tooth movement alone. Two studies examined the effect of PhMT‐s before orthodontic treatment. Unfortunately, no conclusions can be drawn because of the limited number of studies with contradicting outcomes. Conclusions Within the limited studies included in this systematic review, PhMT‐b via particulate bone grafting together with CAOT may provide clinical benefits such as modifying periodontal phenotype, maintaining or enhancing facial bone thickness, accelerating tooth movement, expanding the scope of safe tooth movement for patients undergoing orthodontic tooth movement. The...

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“…However, she believed that treatment of the periodontal disease was the highest priority, and she was under the impression that orthodontic treatment would have to be postponed. This suggests that early consultation with an orthodontist be recommended when treating patients with periodontitis 14) .…”

Section: Period Of Orthodontic Intervention In Generalized Aggressive Periodontitismentioning

confidence: 99%

A Case of Mandibular Prognathism with Generalized Aggressive Periodontitis and Crowding

Ishii

Goto²,

Watanabe

et al. 2021

Bull. Tokyo Dent. Coll.

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Aggressive periodontitis during adolescence has a poor prognosis due to rapid alveolar bone resorption. Few studies have investigated long-term follow-up after surgical orthodontic treatment performed in conjunction with that for invasive periodontitis. Here, we report a case of mandibular prognathism accompanied by generalized aggressive periodontitis and crowding. A 31-year-old woman was referred to our department for treatment of masticatory dysfunction due to reverse overjet. The patient exhibited a class III molar relationship, protrusion of the ANB of -6.0°, and severe maxillary crowding. Initial periodontal examination revealed deep periodontal pockets and extensive inflammation. Mandibular prognathism accompanied by generalized aggressive periodontitis and crowding was diagnosed. Therefore, it was necessary to adopt an interdisciplinary approach involving surgical, orthodontic, and periodontal treatment. Prior to commencement of orthodontic treatment, plaque control, scaling, and root planing of all teeth were performed by a periodontist to suppress inflammation and reduce probing depth. During pre-surgical orthodontic treatment, the maxillary first premolars were extracted to reduce crowding of the maxillary incisors. To correct the mandibular prognathism, the mandible was repositioned by sagittal split ramus osteotomy. Proper occlusion of the incisors and maximum intercuspation were achieved by post-surgical orthodontic treatment. After completion of active orthodontic treatment, acceleration of inflammation was observed together with aggravated resorption of the alveolar bone surrounding the molars. However, reduction of probing depth and inflammation were observed after scaling and root planing. The surgical-orthodontic treatment time was 1 year and 11 months, which was followed by a 2-year retention period. There was no tooth loss due to periodontitis, and an overall satisfactory outcome was achieved.

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Interest in orthodontic tooth alignment in adult patients affected by periodontitis: A questionnaire‐based cross‐sectional pilot study

Cited by 29 publications

References 38 publications

Regenerative periodontal surgery and orthodontic tooth movement in stage IV periodontitis: A retrospective practice‐based cohort study

Regenerative periodontal surgery and orthodontic tooth movement in stage IV periodontitis: A retrospective practice‐based cohort study

Is periodontal phenotype modification therapy beneficial for patients receiving orthodontic treatment? An American Academy of Periodontology best evidence review

A Case of Mandibular Prognathism with Generalized Aggressive Periodontitis and Crowding

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