title: [Orthodontic treatment in adults with compromised periodontium: biomechanical             principles and clinical applications].
abstract: In recent years, there has been a dramatic increase in the number of adults receiving           comprehensive orthodontic treatment. In clinical practice, management of adults may be           somewhat different than for most adolescents. Adults are more likely than adolescents to           have dentitions that have undergone some degree of mutilation over time, which may           necessitate alterations in the treatment strategy. Excessive wear, missing and compromised           teeth are some of the differences observed. For adult patients who have experienced bone           and attachment loss as a consequence of periodontal disease, a new set of biomechanical           requirements exists for producing the tooth movements desired during the orthodontic           therapy. Proper planning and appliance design for adults presenting with multiple missing           teeth may require some degree of creativity to adapt to unique malocclusions and deliver           the proper biomechanical force system. In this article, current clinical application of           biomechanical principles will be presented with emphasis on clinical orthodontic           management of severely mutilated dentitions.
authors: Viale Papiniano 44, 20123 Milano, Italy. vcacciafesta@hotmail.com
authors: Vittorio
authors: V
authors: Cacciafesta
authors: Gudrun
authors: G
authors: Luebberink
authors: Daniel
authors: D
authors: Kanter
mesh_terms: D000328:Adult; D016301:Alveolar Bone Loss / Q000150:complications; D001696:Biomechanical Phenomena; D015921:Dental Implants; D006801:Humans; D008310:Malocclusion / Q000150:complications* / Q000628:therapy; D052280:Orthodontic Anchorage Procedures / Q000295:instrumentation / Q000379:methods; D016382:Orthodontic Appliance Design; D010347:Patient Care Planning; D017622:Periodontal Attachment Loss / Q000150:complications; D010510:Periodontal Diseases / Q000150:complications* / Q000628:therapy; D013314:Stress, Mechanical; D014070:Tooth / Q000503:physiopathology; D016388:Tooth Loss / Q000150:complications; D014087:Tooth Movement Techniques / Q000295:instrumentation / Q000379:methods*; D057085:Tooth Wear / Q000150:complications
chemical_list: D015921:Dental Implants