Spontaneous correction of pathologically migrated teeth with periodontal therapy alone

Abstract

Pathological tooth migration is a characteristic sign of an advanced form of chronic periodontitis. The etiology of pathological tooth migration is complex and multifactorial. Usually treatment of pathological migration includes a multidisciplinary approach. However, in some cases, spontaneous repositioning of the pathologically migrated teeth has been reported following periodontal therapy alone. In the present report, following periodontal surgery, there was a spontaneous repositioning of the migrated teeth and restoration of dento-facial esthetics. The treatment options in cases of pathological tooth migration, based on the severity, are also discussed.

Self-correction of pathologic tooth migration after nonsurgical periodontal treatment in a metabolic syndrome patient with severe periodontitis and drug-influenced gingival enlargement

“…suggest that moderate PTM cases require a combination of periodontal and minor orthodontic treatment, while teeth with severe PTM usually cannot be saved and are best replaced with prosthodontic therapy. [ 20 ] Our patient with severe PTM and DIGE unexpectedly achieved a spontaneous resolution of both conditions after nonsurgical treatment alone. The follow-up radiographs indicated that the gain of periodontal bone support was only evident on the lower right sextant.…”

“…[ 19 ] Studies have revealed that spontaneous correction of mild PTM (≤2 mm) frequently occurs after periodontal (nonsurgical/surgical) therapy alone. [ 5 9 10 20 ] Dadlani et al . suggest that moderate PTM cases require a combination of periodontal and minor orthodontic treatment, while teeth with severe PTM usually cannot be saved and are best replaced with prosthodontic therapy.…”

Periodontia versus Implantodontia: Uma breve revisão do dilema da extração dentária

“…No presente relato, após cirurgia periodontal, houve um reposicionamento espontâneo dos dentes migrados e restauração da estética dento-facial conforme demonstrado por Dadlani, Ramachandra, Mehta, (2013).…”

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

“…Periodontitis can also lead to pathologic tooth migration (PTM), which often motivates patients to seek periodontal therapy . PTM occurs in 30% to 56% of the patients, mainly caused by diminished periodontal tissue support, mechanical pressure of edematous gingiva, dysfunctions, or malocclusion . As a consequence, teeth become extruded, protruded, and gaps can develop between the anterior teeth.…”