title: Orthodontic treatment in periodontal patients: a case report with 7 years follow-up.
abstract: BACKGROUND
  Tooth flaring of the anterior segment is often unesthetic and therefore a primary reason for combined orthodontic and periodontal treatment in adult patients with periodontal disease. Thus, a multidisciplinary approach is frequently chosen for these patients by a qualified dental team.
  
  
  METHODS
  A clinical case of an adult patient suffering from chronic periodontitis with horizontal bone loss in the anterior segment and consequent flaring of the anterior teeth is described. A combined approach was chosen, initially to improve and stabilize the periodontal situation via multiple scaling and root planning sessions with additional pharmacological therapy and, finally by orthodontic treatment, to resolve the malocclusion.
  
  
  RESULTS
  At the end of treatment, bone resorbtion was stabilized, the vertical bone defect was improved and incisor flaring was absent. Follow-up at 7 years post-treatment confirmed the stability of the orthodontic and esthetic results.
  
  
  CONCLUSIONS
  The correct combination of orthodontic and periodontal treatment may contribute efficaciously to eliminate the effects of chronic periodontitis in adult patients, as well as improving esthetic parameters.
authors.affiliation: University of Padua School of Dentistry, Via Venezia 90, I-35131 Padua, Italy. studioderton@libero.it
authors.forename: Nicola
authors.initials: N
authors.lastname: Derton
authors.forename: Roberto
authors.initials: R
authors.lastname: Derton
authors.forename: Alessandro
authors.initials: A
authors.lastname: Perini
authors.forename: Antonio
authors.initials: A
authors.lastname: Gracco
authors.forename: Paolo Andrea
authors.initials: PA
authors.lastname: Fornaciari
mesh_terms: D016301:Alveolar Bone Loss / Q000150:complications / Q000601:surgery; D002508:Cephalometry; D055113:Chronic Periodontitis / Q000150:complications / Q000601:surgery* / Q000628:therapy; D012534:Dental Scaling; D003970:Diastema / Q000209:etiology / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008310:Malocclusion / Q000209:etiology / Q000628:therapy*; D008875:Middle Aged; D020247:Myofunctional Therapy; D019516:Orthodontic Space Closure; D010348:Patient Care Team