Orthodontical Management of Secondary Dental Migration Associated with a Reduced Periodontium: A Case Report
PDF

Keywords

Adult orthodontics
Periodontal health
Orthodontic treatment
Periodontal disease

Categories

How to Cite

1.
Elhajoubi L, Rhissassi M, Zaoui F, Bahije L. Orthodontical Management of Secondary Dental Migration Associated with a Reduced Periodontium: A Case Report. Integr J Med Sci [Internet]. 2020 Jun. 27 [cited 2024 Mar. 28];7. Available from: https://www.mbmj.org/index.php/ijms/article/view/156

Abstract

Introduction: Dental migrations following periodontal pathology may lead to significant aesthetic and functional complaints. In this case report, the presence of evident gingival recessions and mandibular crowding pushed us to opt for an ortho-periodontal multidisciplinary treatment plan, using extractions and incisive repositioning. Through this, we ensured tissue gain at the level of the superficial and deep periodontitis, thus avoiding the use of periodontal surgery.
Clinical Case: A Moroccan 26-years-old female medical secretary who, being very concerned about her appearance and facial aesthetics, presented with pathological dental migrations following severe periodontitis, an unsatisfactory periodontal status, a clear mandibular crowding of the anterior inter-incisive diastemas, gingival recessions, attachment losses and quite large pocket depths with advanced bone resorptions in different areas. This required a specific multidisciplinary approach aiming at creating a healthy and well-structured periodontal environment through extensive periodontal treatment, combined with regular plaque control, and supplemented by an orthodontic treatment using extractions and incisive repositioning in order to avoid any vestibular movement that may worsen the recessions and will require possible overlapping. After 22 months of combined treatment, a stable occlusion was obtained with class I molar and canine relationship, perfect dental alignment, healthy periodontal architecture, and significant attachment gain and bone growth. In addition, the patient’s facial aesthetics and self-confidence have been significantly improved. 
Conclusion: The orthodontic treatment supplementing the meticulously planned periodontal therapy that was administered for this patient has helped to improve functionality, facial aesthetics as well as psychological self-confidence. However, it must be gradual with an application of mild forces and constant control of the periodontal status, for optimal tissue response.

https://doi.org/10.15342/ijms.7.156
PDF

References

Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999 Dec ; 4(1) :1-6. https://doi.org/10.1902/annals.1999.4.1.1

Nisand D, Struillo X, Vincent-Bugnas S, Range H, Gosset M. Une nouvelle classification des maladies parodontales. Actual Pharm. 2019 Oct 1; 58(589):49–52. http://dx.doi.org/10.1016/j.actpha.2019.07.010

Caton J G, Armitage G, Berglundh T, Chapple ILC, Jepsen S, Kornman KS, et al. A new classification scheme for periodontal and peri-implant diseases and conditions – Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018 Jun; 45 Suppl 20:S1–S8. https://doi.org/10.1111/jcpe.12935

Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol. 2018 Jun; 89 Suppl 1:S159–S172. https://doi.org/10.1002/jper.18-0006

Glise JM. Comment l’orthodontie favorise la régénération des lésions parodontales ? Réalités Clin. 2015 ; 28(2) :117-127.

Blanc A, Lallam C, Jalladaud M, Lahmi M. Parodontie et orthodontie : le traitement idéal des maladies parodontales – L’Information Dentaire. Réalités Clin. 2014 Sep 15;15(3):219–28.

Jalladaud M, Ferreira M, Lallam C. Le point sur les traitements ortho-parodontaux. ID Info Dentaire. 2016 May 15; 28–31. [Accessed 2021 Aug 28]. Available From: https://www.information-dentaire.fr/formations/le-point-sur-les-traitements-ortho-parodontaux/

Serino G, Rosling B, Ramberg P, Socransky S, Lindhe J. Initial outcome and long-term effect of surgical and non-surgical treatment of advanced periodontal disease. J Clin Periodontol. 2001 Oct ; 28(10): 910-6. https://doi.org/10.1034/j.1600-051x.2001.028010910.x

Oualalou Y, Benyahia H, Zaoui F, Ismaili Z, Bahije L. Récessions gingivales et orthodontie de l’adulte : mise au point. Rev d’Orthodontie Clin. 2016 May 19 ;(14):4–9. https://doi.org/10.1051/roc/20160504

Kloukos D, Eliades T, Sculean A, Katsaros C. Indication and timing of soft tissue augmentation at maxillary and mandibular incisors in orthodontic patients. A systematic review. Eur J Orthod. 2014 Aug; 36(4):442-9. https://doi.org/10.1093/ejo/cjt073

Levin L, Samorodnitzky-Naveh GR, Machtei EE. The Association of Orthodontic Treatment and Fixed Retainers With Gingival Health. J Periodontol. 2008 Nov; 79(11):2087–92. https://doi.org/10.1902/jop.2008.080128

Alves de Souza R, Borges de Araújo Magnani MB, Nouer DF, Oliveira da Silva C, Klein MI, Sallum EA, et al. Periodontal and microbiologic evaluation of 2 methods of archwire ligation: ligature wires and elastomeric rings. Am J Orthod Dentofacial Orthop. 2008 Oct; 134(4):506-12. https://doi.org/10.1016/j.ajodo.2006.09.067

Baka ZM, Basciftci FA, Arslan U. Effects of 2 bracket and ligation types on plaque retention: a quantitative microbiologic analysis with real-time polymerase chain reaction. Am J Orthod Dentofacial Orthop. 2013 Aug; 144(2):260-7. https://doi.org/10.1016/j.ajodo.2013.03.022

Corbacho de Melo MM, Cardoso MG, Faber J, Sobral A. Risk factors for periodontal changes in adult patients with banded second molars during orthodontic treatment. Angle Orthod. 2012 Mar; 82(2):224-8. https://doi.org/10.2319/030911-172.1

Tonetti MS, Mombelli A. Aggressive periodontitis. In: Lindhe J, Lang NP, Karring T, editors. Clinical periodontology and implant Dentistry. 5th edition. Oxford: Blackwell; 2008: 428–457.

Wagenberg Bd, Eskow Rn, Langer B. Orthodontics: a solution for the advanced periodontal or restorative problem. Int J Periodont Rest Dent. 1986; 6(6):36-45.

Boyd Rl, Hochman M, Vanarsdall Rl, New technology in adult orthodontics, Interview by Mark J. Friedman. Compend Contin Educ Dent. 2001 Feb; 22(2):110-2.

Zachrisson Bu. Clinical implication of recent orthodontic-periodontic research finding. Semin Orthod. 1996 Mar; 2(1):4-12. https://doi.org/10.1016/s1073-8746(96)80034-x

Monnet-Corti V, Borghetti A. Chirurgie plastique parodontale et orthodontie. J Periodontol Implantol Orale. 2000;19(HS) :253-265.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2020 Laila Elhajoubi et al.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...