title: A modified orthodontic protocol for advanced periodontal disease in Class II division 1 malocclusion.
abstract: An interdisciplinary approach is often the best option for achieving a predictable outcome for an adult patient with complex clinical problems. This case report demonstrates the combined periodontal/orthodontic treatment for a 49-year-old woman presenting with a Class II Division 1 malocclusion with moderate maxillary anterior crowding, a 9-mm overjet, and moderate to severe bone loss as the main characteristics of the periodontal disease. The orthodontic treatment included 2 maxillary first premolar extractions through forced extrusion. Active orthodontic treatment was completed in 30 months. The treatment outcomes, including the periodontal condition, were stable 17 months after active orthodontic treatment. The advantages of this interdisciplinary approach are discussed. Periodontally compromised orthodontic patients can be satisfactorily treated, achieving most of the conventional orthodontic goals, if a combined orthodontic/periodontic approach is used.
authors: Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru, SP, Brazil. jansong@travelnet.com.br
authors: Marcos
authors: M
authors: Janson
authors: Guilherme
authors: G
authors: Janson
authors: Oscar Edwin Francisco
authors: OE
authors: Murillo-Goizueta
mesh_terms: D002508:Cephalometry; D003777:Dental Prophylaxis; D005260:Female; D006801:Humans; D008312:Malocclusion, Angle Class II / Q000150:complications* / Q000628:therapy*; D008875:Middle Aged; D050793:Orthodontic Extrusion; D009971:Orthodontics, Corrective / Q000379:methods*; D057887:Overbite / Q000150:complications / Q000628:therapy; D010348:Patient Care Team; D010510:Periodontal Diseases / Q000150:complications* / Q000473:pathology; D014081:Tooth Extraction / Q000379:methods