title: Combined periodontal and orthodontic treatment in a patient with aggressive periodontitis: a 9-year follow-up report.
abstract: A combined periodontal and orthodontic treatment demands a detailed evaluation in both specialties, particularly when the periodontium is reduced. This is especially true for adult patients, but young patients can also suffer from advanced periodontitis. This article describes combined periodontal and orthodontic therapy in a young patient with severe localized and aggressive periodontitis, tooth crown abnormalities, and missing maxillary second premolars. Periodontal treatment was carried out. Once attachment gain and bone stability were confirmed, orthodontic therapy commenced. It lasted 32 months, during which segmented mechanics and only light forces were used. The result of this intervention was satisfactory, and long-term stability (9 years) with periodontal maintenance was achieved.
authors.affiliation: Universidade Luterana do Brasil, Canoas, Brazil. lucloss@uol.com.br
authors.forename: Luciane Quadrado
authors.initials: LQ
authors.lastname: Closs
authors.forename: Sabrina Carvalho
authors.initials: SC
authors.lastname: Gomes
authors.forename: Rui Vicente
authors.initials: RV
authors.lastname: Oppermann
authors.forename: Vivian
authors.initials: V
authors.lastname: Bertoglio
mesh_terms: D010520:Aggressive Periodontitis / Q000628:therapy*; D016301:Alveolar Bone Loss / Q000628:therapy; D000848:Anodontia / Q000628:therapy*; D001641:Bicuspid / Q000002:abnormalities*; D001696:Biomechanical Phenomena; D003719:Dens in Dente / Q000150:complications*; D012534:Dental Scaling / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000002:abnormalities*; D008310:Malocclusion / Q000628:therapy*; D019516:Orthodontic Space Closure / Q000379:methods; D017622:Periodontal Attachment Loss / Q000628:therapy; D016745:Root Planing / Q000379:methods; D013524:Surgical Flaps; D014087:Tooth Movement Techniques / Q000379:methods; D055815:Young Adult