Orthodontic treatment in a periodontal patient with pathologic migration of anterior teeth.
A 22-year-old man with severe periodontitis and pathologic tooth migration sought orthodontic treatment. He was treated successfully with effective control of the strength and the direction of the orthodontic forces, and a combination of periodontic and orthodontic treatment. After 22 months of orthodontic treatment, his occlusal trauma resulting from pathologic tooth migration was relieved, a stable occlusion was achieved, and mutual aggravation of occlusal trauma and periodontitis was prevented. Furthermore, the patient's facial esthetics and self-confidence were improved. Newly formed trabecular bone could be seen in the periapical x-rays in some regions where resorption had been severe. This case report shows that resorption of alveolar bone can be prevented and that multidisciplinary orthodontic treatment of a periodontal patient with pathologic tooth migration is effective and helpful.
Postgraduate student, Orthodontic Centre, West China Hospital of Stomatology, and State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, China.
Yijia
Y
Xie
Associate professor, Orthodontic Centre, West China Hospital of Stomatology, and State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, China. Electronic address: fanfan_qing@163.com.
Qing
Q
Zhao
Associate professor, State Key Laboratory of Oral Diseases and Oral Implant Centre, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Zhen
Z
Tan
Postgraduate student, State Key Laboratory of Oral Diseases and Oral Implant Centre, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Shuliang
S
Yang
D016301:Alveolar Bone Loss / Q000628:therapy; D002508:Cephalometry / Q000379:methods; D003769:Dental Occlusion, Traumatic / Q000628:therapy; D004954:Esthetics; D005889:Gingival Recession / Q000145:classification; D006801:Humans; D007180:Incisor / Q000473:pathology; D008297:Male; D008310:Malocclusion / Q000628:therapy*; D017090:Occlusal Splints; D009971:Orthodontics, Corrective / Q000379:methods*; D010347:Patient Care Planning; D010348:Patient Care Team; D010514:Periodontal Pocket / Q000145:classification; D010518:Periodontitis / Q000628:therapy*; D012649:Self Concept; D014085:Tooth Migration / Q000628:therapy*; D014087:Tooth Movement Techniques / Q000295:instrumentation / Q000379:methods; D055815:Young Adult