Orthodontic treatment as an adjunct to periodontal therapy

This study discusses the role of orthodontic treatment as an adjunct to the control and treatment of periodontal disease conditions, and describes a clinical case of severe anterior mandibular crowding and periodontal disease followed up for nine years and three months after orthodontic treatment completion. Malocclusion impaired proper dental hygiene, which led to bone loss and development of a periodontal abscess between mandibular canines and lateral incisors. After scaling and root planing, orthodontic treatment was initiated with extraction of the four second premolars, to correct the deficiency detected in cephalometric and model analysis. Treatment objectives were met, and facial and dental esthetics was satisfactory. Adequate periodontal management, hygiene control and tooth movement ensured ideal occlusion and facilitated the control of biofilm.RESUMO Os objetivos do presente artigo s ão discutir o papel do tratamento ortodôntico como coadjuvante no controle e tratamento dos problemas periodontais e apresentar um caso clínico com severo apinhamento anteroinferior e problemas periodontais, com acompanhamento de 9 anos e 3 meses após o tratamento ortodôntico. A má oclusão im possibilitava a correta higienização dos dentes, causando perda óssea e abscesso periodontal entre os caninos e incisivos laterais inferiores. Após a raspagem e alisamento radicular, o tratamento ortodôntico foi realizado com extrações dos quatro segundos pré-molares, para corrigir a...

Source: Dental Press Journal of Orthodontics - September 6, 2019 Category: Dentistry Source Type: research