scholarly journals The Periodontal Benefit of Orthodontic Tooth Movement in a Deep Facial Recession of a Mandibular Incisor

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Ivan Pedro Taffarel ◽  
Caio Seiti Miyoshi ◽  
Ivan Toshio Maruo ◽  
Thiago Martins Meira ◽  
Orlando Motohiro Tanaka
Keyword(s):  
Tooth Movement ◽  
Orthodontic Tooth Movement ◽  
Gingival Recession ◽  
Central Incisor ◽  
Periodontal Health ◽  
Posterior Teeth ◽  
Mandibular Incisor ◽  
Skeletal Class ◽  
Normal Limits

Gingival recession refers to the exposure of the tooth’s surface by an apical shift of the gingiva. The aim of this paper is to present a clinical case of an adult patient with a skeletal Class I and clinically deep gingival recession in the mandibular left central incisor. A preadjusted appliance with 0.022 in×0.028 in slot was placed in both arches. Rectangular arches were used, with the addition of root lingual torque, specifically in the left lower central incisor. Class II and vertical intermaxillary elastics were used throughout the active treatment to obtain intercuspation of the posterior teeth. The orthodontic movement with the application of a localized biomechanics system of forces into the mandibular left central incisor delivered good dental and functional occlusion and, mainly, gingival and periodontal health. The follow-up showed stable results with the periodontium within normal limits and an improved occlusal interdigitation.

scholarly journals Correlation of Orthodontic Treatment by Fixed or Myofunctional Appliances and Periodontitis: A Retrospective Study

2017 ◽  
Vol 18 (4) ◽  
pp. 322-325 ◽  
Author(s):  
Sukhpreet Mangat ◽  
Modi S Kichorchandra ◽  
Akash Handa ◽  
Suresh Bindhumadhav
Keyword(s):  
Retrospective Study ◽  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Orthodontic Tooth Movement ◽  
Gingival Recession ◽  
Periodontal Health ◽  
Gingival Health ◽  
Group I ◽  
Group Ii ◽  
The Difference

ABSTRACT Introduction Malocclusion plays an important role in the development of periodontitis. Thus, by treating malocclusion, a good gingival health can be achieved. This study was conducted to establish the correlation between orthodontic tooth movement and periodontitis. Materials and methods This is a retrospective study conducted on 220 patients who underwent orthodontic treatment for malocclusion. They were divided into two groups: Group I patients were treated with fixed orthodontics, while group II patients received myofunctional appliances. Results The value for plaque, gingival recession, and tooth mobility significantly increased in group I patients. However, the difference was statistically nonsignificant in group II patients. Conclusion The authors concluded that there is correlation between malocclusion and periodontitis. Malocclusion leads to periodontitis. Clinical significance Malocclusion is the main reason for the development of poor periodontal health. Combined effort has to be played by both periodontist and orthodontist for the treatment of various orthodontic-periodontal problems. How to cite this article Sharma K, Mangat S, Kichorchandra MS, Handa A, Bindhumadhav S, Meena M. Correlation of Orthodontic Treatment by Fixed or Myofunctional Appliances and Periodontitis: A Retrospective Study. J Contemp Dent Pract 2017;18(4):322-325.

scholarly journals Management of Multiple Recession simultaneously with Modified Coronally Advanced Flap

2017 ◽  
Vol 1 (2) ◽  
pp. 81-83
Author(s):  
Harish Kumar Shah ◽  
Shashi Kant Chaudhary ◽  
Khushboo Goel ◽  
Sajeev Shrestha
Keyword(s):  
Prognostic Factors ◽  
Gingival Recession ◽  
Class I ◽  
Root Coverage ◽  
Periodontal Health ◽  
Aesthetic Result ◽  
Coronally Advanced Flap ◽  
Flap Procedure ◽  
The Aesthetic

Gingival recession is one of the aesthetic concern for a beautiful smile. In an aesthetically driven era, root coverage requires consideration of all prognostic factors for successful results. This paper reports a case of treatment of Miller’s Class I gingival recession involving multiple teeth. A modified coronally advanced flap procedure was performed. At the postoperative follow-up visits, healing was uneventful. After 9 months, excellent aesthetic result was achieved with complete root coverage. Periodontal health was normal and the patient was satisfied with the result.

Reattachment of Fractured Mandibular Incisor using Fiber-reinforced Post in a 12-year-old Patient: A 3-year Follow-up

2015 ◽  
Vol 5 (3) ◽  
pp. 86-89
Author(s):  
Shanmugasundaram Karthikeyani ◽  
Velliangattur Ramasamy Thirumurthy ◽  
Yuvaraja Bindhoo
Keyword(s):  
Treatment Option ◽  
School Children ◽  
Central Incisor ◽  
Fiber Reinforced ◽  
Mandibular Incisor ◽  
Factors Affecting ◽  
Traumatic Injuries ◽  
Adhesive Dentistry ◽  
A New Technique

ABSTRACT The incidence of coronal fractures from traumatic injuries is high in school children and causes serious functional, esthetic and psychological problems. Dentists are confronted on a regular basis with their management. Reattachment of a fractured fragment, though not a new technique, is gaining interest as a treatment option. This is due to its advantages over other techniques and advancements in adhesive dentistry. This manuscript presents a 3-year follow-up of a case of complicated permanent mandibular central incisor fracture (no cases reported in literature), that was successfully treated by fragment reattachment using a fiber-reinforced post and discusses the factors affecting the success of reattachment technique. How to cite this article Karthikeyani S, Thirumurthy VR, Bindhoo Y. Reattachment of Fractured Mandibular Incisor using Fiber-reinforced Post in a 12-year-old Patient: A 3-year Follow-up. Int J Prosthodont Restor Dent 2015;5(3):86-89.

scholarly journals Treatment of gingival recession with coronally advanced Flap - A case report

2012 ◽  
Vol 1 (1) ◽  
pp. 29-32
Author(s):  
R Singh
Keyword(s):  
Gingival Recession ◽  
Gingival Tissue ◽  
Root Caries ◽  
Root Coverage ◽  
Periodontal Health ◽  
Medical College ◽  
Coronally Advanced Flap ◽  
Normal Colour ◽  
Clinical Conditions

Extensive gingival recession associated with cervical abrasions is common. Several different surgical and/or restorative therapies have been proposed to correct these lesions. This paper reports the treatment of multiple gingival recessions associated with shallow root caries. The procedure involved utilization of coronally advanced flap. At the postoperative follow-up visits, the success of the surgical approach was confirmed by the absence of tooth sensitivity and presence of gingival tissue with normal colour, texture and contour. After 12 months of follow-up, the clinical conditions were stable with satisfactory root coverage and periodontal health. An excellent aesthetical outcome was achieved and the patient was satisfied with the outcome. DOI: http://dx.doi.org/10.3126/jkmc.v1i1.7253 Journal of Kathmandu Medical College, Vol. 1, No. 1, Issue 1, Jul.-Sep., 2012 pp.29-32

scholarly journals Clinical and Microbiological Evaluation of Surgical and Nonsurgical Treatment of Aggressive Periodontitis

2019 ◽  
Vol 30 (6) ◽  
pp. 577-586 ◽  
Author(s):  
Camila Camarinha da Silva Cirino ◽  
Hugo Felipe do Vale ◽  
Márcio Zaffalon Casati ◽  
Enilson Antonio Sallum ◽  
Renato Corrêa Viana Casarin ◽  
...  
Keyword(s):  
Surgical Therapy ◽  
Gingival Recession ◽  
Aggressive Periodontitis ◽  
Posterior Teeth ◽  
Probing Depth ◽  
Nonsurgical Periodontal Therapy ◽  
Microbiological Parameters ◽  
Clinical Benefits ◽  
Nonsurgical Therapy

Abstract The present study aimed to evaluate clinical and microbiological effects of surgical and nonsurgical periodontal therapy in generalized aggressive periodontitis (GAgP) treatment. Sixteen GAgP patients were included in this randomized split-mouth design clinical trial. Maxillary quadrants were allocated into two groups: Nonsurgical Therapy (NST) and Surgical Therapy (ST). The following clinical parameters were assessed: plaque index (PI), bleeding on probing index (BoP), probing depth (PD), clinical attachment level (CAL) and gingival margin position (GMP). Concentrations of Porphyromonas gingivalis (Pg) and Aggregatibacter actinomycetemcomitans (Aa) in the subgingival biofilm were also determined. Clinical and microbiological parameters were assessed at baseline (n=16), 3 (n=15), 6 (n=15) and 12 months (n=8) after treatment. ST was able to promote higher PD reduction compared to NST in deep pockets at 12 months (p<0.05) and in posterior teeth at 6 months (p<0.05). In addition, higher gingival recession was observed in posterior teeth of the ST group at the 6th month (p<0.05). However, ST failed to promoted additional CAL gain in any timepoint (p>0.05). Moreover, microbiological evaluation showed no statistical difference in levels of Aa and Pg for both groups at all follow-up periods. Surgical therapy promoted similar clinical benefits to GAgP therapy. Moreover, both therapies failed to reduce Aa and Pg levels at different follow-up times.

scholarly journals Orthodontic treatment of an adult patient with aggressive periodontitis – A case report

2020 ◽  
Vol 1 (2) ◽  
pp. 91-105
Author(s):  
Mohd Zambri Mohamed Makhbul ◽  
Izrawatie Mardiana Shapeen ◽  
Wan Nurazreena Wan Hassan
Keyword(s):  
Treatment Outcome ◽  
Case Report ◽  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Orthodontic Tooth Movement ◽  
Aggressive Periodontitis ◽  
Central Incisor ◽  
Periodontitis Patient ◽  
Successful Treatment Outcome ◽  
Bone Level

A 26-year-old man with an aggressive periodontitis sought for orthodontic treatment to improve the appearance of his smile. He presented with generalised anterior spacing, missing lowerleft central incisor and deep traumatic bite. He was treated successfully with a combination of orthodontic and periodontal treatment. After 18 months of orthodontic treatment and follow upby the periodontist, his alignment of teeth was improved, a stable occlusion was achieved, and occlusal trauma was prevented. As a result, the patient’s smile appearance and selfconfidence were improved. Orthodontic tooth movement is not only to correct the alignment of his teeth but also to improve the bone level especially at the anterior region. This case report shows the successful treatment outcome in aggressive periodontitis patient which requires good collaboration between the orthodontist and the periodontist.

scholarly journals Fluctuation of bone turnover markers’ levels in samples of gingival crevicular fluid after orthodontic stimulus: a systematic review

2022 ◽  
Vol 11 (1) ◽  
Author(s):  
L. Kakali ◽  
I. Giantikidis ◽  
I. Sifakakis ◽  
E. Kalimeri ◽  
I. Karamani ◽  
...  
Keyword(s):  
Systematic Review ◽  
Bone Turnover ◽  
Tooth Movement ◽  
Gingival Crevicular Fluid ◽  
Orthodontic Tooth Movement ◽  
Risk Of Bias ◽  
Cross Sectional ◽  
Turnover Markers ◽  
Crevicular Fluid

Abstract Background The aim of the present study was to provide an overview of gingival crevicular fluid (GCF) bone turnover markers (BTMs) concerning the physiology of orthodontic tooth movement (OTM) and assess their potential contributions to regulating bone remodeling, that could prove useful in designing future approaches to modulating orthodontic tooth movement. Methods Multiple electronic databases (MEDLINE/PubMed, Ovid MEDLINE, Ovid Embase, LILACS, and Cochrane Library) were searched up to October 1st, 2020. Randomized controlled trials (RCTs), controlled clinical trials, observational studies of prospective and retrospective designs, and cross-sectional studies reporting on levels of BTMs in GCF were eligible for inclusion. The quality of the included RCTs was assessed per the revised Cochrane risk of bias tool for randomized trials (RoB 2.0), whereas the risk of bias of the included cohort studies was assessed using the Risk Of Bias In Non-randomized Studies of Interventions tool. Results Five RCTs, 9 prospective cohort studies, and 1 cross-sectional study fulfilled the inclusion criteria. The risk of bias was deemed as high for the RCTs and 4 of the prospective studies and moderate for the rest of the studies. The following biomarkers for bone formation were assessed: bone alcaline phosphatase (BALP), alcaline phosphatase (ALP), and osteocalcin (OC). For bone resorption, the following BTMs were assessed: deoxypyridinoline (DPD) and pyridinoline (PYD), N-terminal telopeptide (NTX), osteopontin (OPN), and tartrate-resistant acid phosphatase (TRAP). The follow-up period ranged mainly from baseline to 45 days, although one study had an expanded follow-up period of up to 16 months. The results of the included studies comparing different BTMs were heterogeneous and qualitatively reported. Conclusions Current evidence continues to support the potential for BTMs to provide clinically useful information particularly for adjusting or standardizing the orthodontic stimulus. The present systematic review has retrieved studies of high, overall, risk of bias, and has unveiled a substantial clinical and methodological heterogeneity among included studies. Further data of the relationships between the clinical assays and the physiological or pre-analytical factors contributing to variability in BTMs’ concentrations are required. Systematic review registration CRD42020212056.

scholarly journals Alveolar bone modeling and bone modeling/ tooth movement ratio during mandibular incisor retraction: a retrospective study

2020 ◽  
Author(s):  
Jingchen Xu ◽  
Jialiang Zhou ◽  
Yuanyuan Yin ◽  
Le Chang ◽  
Song Chen
Keyword(s):  
Alveolar Bone ◽  
Tooth Movement ◽  
Orthodontic Tooth Movement ◽  
Cortical Plate ◽  
Bone Modeling ◽  
High Angle ◽  
Mandibular Incisor ◽  
Lingual Side ◽  
Incisor Retraction ◽  
Facial Types

Abstract Background: The objective of this study was to explore the limit of orthodontic tooth movement by evaluating changes of alveolar bone during mandibular incisor retraction and comparing the bone modeling/tooth movement (B/T) ratio among patients with different vertical facial types. Methods: There were 103 patients with bimaxillary dentoalveolar protrusion evaluated with cephalograms in this study. The alveolar bone thickness (ABT) and cortical plate remodeling at cervical level (S1), middle level (S2) and apical level (S3) in Tip and Torque groups were measured, and B/T ratio in patients with different vertical facial types was calculated. Results: After excluding growth effect, buccolingual ABT at S1 and S2, as well as labial ABT at S1 in both Tip and Torque group decreased significantly. Cortical plate at three levels in Torque group remodeled to the lingual side. But in Tip group, cortical plate at S1 remodeled to the lingual side and cortical plate at S2 and S3 remodeled to the labial side. Regarding the B/T ratio, high-angle patients was smaller than average-angle and low-angle patients. Conclusions: In conclusion, resorption of alveolar bone was more than apposition during mandibular incisor retraction. The direction of alveolar cortical modeling was as same as tooth movement and the modeling amount was proportional to the distance of tooth movement. In addition, the B/T ratio was different among patients with different vertical craniofacial patterns. Close attention should be paid to high-angle patients with narrower ABT and smaller B/T ratio. Keywords: alveolar bone modeling, orthodontic tooth movement limit, incisor retraction, vertical facial patterns

scholarly journals Three-dimensional canine loop for management of buccally erupted canines

2015 ◽  
Vol 5 ◽  
pp. 229-231
Author(s):  
Praveen Mehrotra ◽  
Jitendra Bhagchandani ◽  
Sonahita Agarwal ◽  
Anchit Thukral
Keyword(s):  
Tooth Movement ◽  
Three Dimensional ◽  
Orthodontic Tooth Movement ◽  
Gingival Recession ◽  
Three Dimensions ◽  
Precise Control ◽  
Sequential Control ◽  
Clinical Innovation ◽  
Maximum Comfort ◽  
Root Movement

Maxillary canines are known as the cornerstones of mouth. They are considered to be important for esthetics and for functional occlusion. Any disturbance in the eruption process leading to an aberrant position will hamper esthetics as well as function. Orthodontic tooth movement of total buccally blocked-out canine is usually difficult as it is related with the problems of severe crowding, midline deviation, involvement of long root movement and risk of gingival recession. Such conditions can be treated orthodontically in various ways, but this clinical innovation helps to correct the buccally placed canines into the arch with a precise control of the canine in all the Three-dimensions (3D) of space as well as providing maximum comfort to the patient by placing the canine loop on the palatal surface of the tooth, reducing soreness on the labial mucosa. It can be easily fabricated and activated at chairside for either simultaneous or sequential control in 3D.

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