Orthodontic treatment for a patient with advanced periodontal disease: 11-year follow-up

Tavares, Carlos Alberto Estevanell; Allgayer, Susiane; Calvete, Ernani da Silva; Polido, Waldemar Daudt

doi:10.1016/j.ajodo.2012.09.025

Cited by 18 publications

(18 citation statements)

References 25 publications

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“…This facial and dental deformity impairs the mastication, speech and swallowing, and affects the social behavior of the individual in its multiple aspects, 26 thus affecting the entire spectrum that constitutes the quality of life. 22,[27][28][29][30] Esthetics motivates patients with dentofacial deformity to seek for orthodontic treatment and orthognathic surgery as a treatment option. [31][32][33] Knowledge on the patient's chief complaints and expectations, as well as proper diagnostic exams, are important factors to decide the ideal treatment plan and achieve a satisfactory final result.…”

Section: Discussionmentioning

confidence: 99%

“…19,42 The orthognathic surgery straightened the profile, improved the smile, respiratory function, enhanced the self-esteem and thus the quality of life. 22,[27][28][29][45][46][47][48][49] Relapse after treatment is quite common, and the prognosis depends both on the severity and associated etiology. 5,23,24 Lopez-Gavito et al 25 reported that more than 30% of patients demonstrated some relapse of anterior open bite after orthodontic treatment.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Open bite in adult patients

Tavares¹,

Allgayer²

2019

Dental Press J. Orthod.

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Anterior open bite (AOB) is characterized by the lack of overlap or contact between maxillary and mandibular incisors, while the posterior teeth are in occlusion. Correction of this malocclusion is challenging due to difficulties in determining and addressing the etiologic factors, and the high relapse rate. A multidisciplinary approach may be necessary, with participation of Orthodontics, Surgery and Speech Therapy, to achieve adequate esthetic and functional results for long term stability. The present paper discusses the treatment options for AOB, their advantages and implications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Open bite in adult patients

Tavares¹,

Allgayer²

2019

Dental Press J. Orthod.

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“…At the beginning of the treatment, the patient had flared incisors, difficulty sealing his mouth with his lips, rotations, hypereruption, and diastemas that all resulted from the pathologic migration, which lead to a relapse of gingivitis [ 11 ]. Pathologically flared incisors often have palatal pockets, so the retraction of these teeth must have an intrusion component to improve insertion.…”

Section: Discussionmentioning

confidence: 99%

“…Periodontitis is usually asymptomatic and if it is not treated it can lead to tooth loss [ 2 – 9 ]. Periodontal treatment must be performed before orthodontic treatment to restore and maintain the health of the supporting tissues [ 3 , 6 , 8 , 10 , 11 ].…”

Section: Introductionmentioning

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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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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“…Recently, adequate orthodontic and periodontal treatment has been sought to improve the periodontal condition and anterior aesthetics. 18 19 20 However in such cases, periodontal breakdown causes pathologic migration of teeth, making the orthodontic treatment more complicated. 21 22 23 At present, few clinical studies have examined the aesthetic restoration of periodontally-involved anterior teeth with mobility and chronic dislodgement.…”

Section: Introductionmentioning

confidence: 99%