title: Combined periodontal, orthodontic, and restorative treatment of pathologic migration of anterior teeth: a case report.
abstract: Pathologic tooth migration related to periodontal disease is a common chief complaint of periodontal patients. This paper describes the treatment of a case of severe periodontal disease and disfiguring pathologic migration of maxillary central incisors, which required a multidisciplinary approach. After conventional periodontal treatment was performed, the anterior diastema was closed using a combination of orthodontic therapy and restorative treatment. A 6-month follow-up examination of this case revealed resolution of the anterior pathologic migration, with gains in clinical attachment levels and a successful esthetic and functional final result.
authors.affiliation: Department of Periodontics, School of Dentistry at Araraquara, State University of São Paulo (UNESP) Araraquara, Brazil. cirelli@foar.unesp.br
authors.forename: Joni Augusto
authors.initials: JA
authors.lastname: Cirelli
authors.forename: Carolina Chan
authors.initials: CC
authors.lastname: Cirelli
authors.forename: Marinella
authors.initials: M
authors.lastname: Holzhausen
authors.forename: Lidia Parsekian
authors.initials: LP
authors.lastname: Martins
authors.forename: Celso Henrique
authors.initials: CH
authors.lastname: Brandão
mesh_terms: D000328:Adult; D016301:Alveolar Bone Loss / Q000150:complications; D003188:Composite Resins; D003793:Dental Restoration, Permanent / Q000379:methods; D012534:Dental Scaling; D003970:Diastema / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D007180:Incisor / Q000503:physiopathology*; D008437:Maxilla; D019516:Orthodontic Space Closure / Q000295:instrumentation; D010518:Periodontitis / Q000150:complications / Q000628:therapy; D014085:Tooth Migration / Q000209:etiology / Q000628:therapy*
chemical_list: D003188:Composite Resins