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

2020 ◽  
Vol 7 ◽  
Author(s):  
Laila Elhajoubi ◽  
Meriem Rhissassi ◽  
Fatima Zaoui ◽  
Loubna Bahije
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Bone Growth ◽  
Treatment Plan ◽  
Combined Treatment ◽  
Multidisciplinary Treatment ◽  
Tissue Response ◽  
Facial Aesthetics ◽  
Periodontal Status ◽  
Self Confidence

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 application of mild forces and constant control of the periodontal status, for optimal tissue response.

Benefits of Digital Smile Design (DSD) in the conception of a complex orthodontic treatment plan: A case report-proof of concept

2019 ◽  
Vol 17 (3) ◽  
pp. 573-579 ◽  
Author(s):  
Carole Charavet ◽  
Jean-Claude Bernard ◽  
Cyril Gaillard ◽  
Michel Le Gall
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Proof Of Concept

A Case Report of Multidisciplinary Treatment of an Adult Patient with Bilateral Cleft Lip and Palate

2014 ◽  
Vol 51 (6) ◽  
pp. 711-721 ◽  
Author(s):  
Tomohiro Fukunaga ◽  
Tadashi Honjo ◽  
Yuichi Sakai ◽  
Kiyo Sasaki ◽  
Teruko Takano-Yamamoto ◽  
...  
Keyword(s):  
Case Report ◽  
Adult Patient ◽  
Bone Grafting ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Multidisciplinary Treatment ◽  
Retention Period ◽  
Bilateral Cleft Lip ◽  
Palate Patient

This is a case report about the successful orthodontic treatment of a bilateral cleft lip and palate patient by using a combination of bone grafting and subsequent prosthodontic rehabilitation. An adult patient with a bilateral cleft lip and palate presented with a concave profile, anterior and lateral crossbite, a markedly deep overbite, and residual bilateral alveolar clefts. His jaw movement patterns were unstable and irregular due to his collapsed bite. Orthodontic treatment with bilateral bone grafting improved his concave profile by downward and backward rotation of the mandible within the freeway space, and optimum occlusion and functionally stable and smooth jaw movements were obtained. After a 6-year retention period, no skeletal relapse could be detected, and his occlusal stability was satisfactory.

scholarly journals Perawatan Ortodontik Inkonvensional Gigi Atas Berjejal Dengan Keberadaan Kista

2013 ◽  
Vol 20 (1) ◽  
pp. 99
Author(s):  
Timothy Soewito ◽  
Darmawan Sutantyo ◽  
Cendrawasih A Farmasyanti
Keyword(s):  
Case Report ◽  
Active Treatment ◽  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Orthodontic Brackets ◽  
Lateral Incisor ◽  
Class Iii ◽  
Incisor Tooth ◽  
Knowing That

Keberadaan kista dapat menghambat perawatan ortodontik konvensional yang diberikan pada pasien. Tujuan artikel ini adalah menyajikan laporan kasus perawatan ortodontik alternatif seorang pasien perempuan berusia 17 tahun dengan kondisi gigi atas berjejal berat dan kista jinak di antara gigi insisivus lateral dan kaninus kiri atas. Setelah menetapkan diagnosis ortodontik, perawatan pertama yang dilakukan adalah pengangkatan kista. Kista dikirim untuk biopsi dan didiagnosis sebagai kista jinak. Orang tua dan pasien memutuskan untuk mencabut gigi insisivus lateral atas setelah mengetahui bahwa gigi insisivus lateral kiri atas nekrosis. Setelah gigi dicabut, bracket ortodontik dipasang di gigi bawah pasien. Tiga bulan kemudian, bracket ortodontik dipasang di gigi atas pasien. Kondisi gigi atas yang berjejal terkoreksi dan kaninus atas menggantikan posisi insisivus lateral. Saat ini, perawatan aktif masih dilanjutkan dan terpasang bracket ortodontik dengan elastik kelas III pada pasien. Kesimpulan artikel ini adalah pendekatan perawatan ortodontik inkonvensional dapat menjadi pertimbangan ketika ditemukan hambatan seperti adanya kista. Pasien dan orang tua harus diberi informasi mengenai konsekuensi perawatan sebelum perawatan dimulai.Unconventional Orthodontic Treatment for Upper Teeth Crowding with Benign Cyst. The presence of a cyst can provide an obstacle to the conventional orthodontic treatment given to the patients. The purpose of this article is to describe a case report of a seventeen year-old girl with a severe crowding of maxilla and presence of benign cyst between lateral incisor teeth and upper left canine treated with an alternative orthodontic treatment plan. After orthodontic diagnosis, the first treatment to be conducted was the removal of the cyst. The cyst was sent for biopsy and diagnosed as non-malignant cyst. The patient and her parents decided to extract upper laterals incisor tooth after knowing that the upper left lateral incisor tooth was necrotic. After the extractions, orthodontic brackets were bonded on the mandible. Then three months later the maxilla was bonded. The upper crowding of teeth condition was resolved very promptly and the upper canines were used to replace the laterals incisor position. Currently, active treatment is still in progress, and the patient has full upper and lower orthodontic brackets with class III elastics. After the treatment so far, it can be concluded that unconventional orthodontic treatment is worth considering when an obstacle such as a cyst is present. Patients and parents must be informed about the consequences of the treatment before active treatment is started.

scholarly journals Gingival recession—can orthodontics be a cure? Evidence from a case presentation

2013 ◽  
Vol 83 (6) ◽  
pp. 1093-1101 ◽  
Author(s):  
William M. Northway
Keyword(s):  
Orthodontic Treatment ◽  
Dental Hygiene ◽  
Treatment Plan ◽  
Gingival Recession ◽  
Class Ii Malocclusion ◽  
Extensive Review ◽  
Case Review ◽  
Review Of The Literature ◽  
Case Presentation ◽  
Periodontal Status

ABSTRACT Does orthodontic treatment help or hinder a patient's periodontal status? What factors affect the periodontium? Can those factors be managed in a way that remedies existing periodontal issues? A 35-year-old woman presented with severe gingival recession and a unilateral Class II malocclusion. The treatment plan was to correct the malocclusion in a way that torques the roots more onto bone and to change her dental hygiene methods. With an extensive review of the literature, this case review attempts to make sense of the enigma of gingival recession and demonstrates an excellent treatment solution to concomitant orthodontic and periodontal problems.

scholarly journals Oculo-Facio-Cardio-Dental Syndrome: A Case Report about a Rare Pathological Condition

2019 ◽  
Vol 16 (6) ◽  
pp. 928
Author(s):  
José Martinho ◽  
Hugo Ferreira ◽  
Siri Paulo ◽  
Anabela Paula ◽  
Carlos-Miguel Marto ◽  
...  
Keyword(s):  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Multidisciplinary Approach ◽  
Pathological Condition ◽  
Treatment Plan ◽  
Multidisciplinary Treatment ◽  
Clinical Report ◽  
Nasal Bridge ◽  
Septal Defects ◽  
Bilateral Sagittal Split Osteotomy

(1) Background: Oculo-facio-cardio-dental (OFCD) syndrome is a rare pathological condition with an X-linked dominant trait that only occurs in females; no males are born with OFCD syndrome. This syndrome is characterized by congenital cataracts with secondary glaucoma ocular defects, ventricular and atrial septal defects, or mitral valve prolapses. Facial traits are a long narrow face and a high nasal bridge with a bifid nasal tip. Dental anomalies include radiculomegaly, oligodontia, root dilacerations, malocclusion, and delayed eruption. (2) Methods: This clinical report describes a 26-year-old girl who suffers from OFCD syndrome and who was treated with a multidisciplinary approach. The treatment plan included orthodontic treatment, orthognathic surgery, namely LeFort I and a Bilateral Sagittal Split Osteotomy, and occlusal rehabilitation with implants. (3) Discussion: Early diagnosis and multidisciplinary treatment of orthodontic, orthognathic surgery and occlusal rehabilitation with implants make it possible to maintain tooth function and improve aesthetics with good prognoses for success. In this paper, we report a case of a female patient with OFCD syndrome, who was referred for orthodontic treatment and occlusal rehabilitation and treated with a multidisciplinary approach.

Adenomatoid odontogenic tumour: A rare threat to orthodontic treatment planning

2019 ◽  
Vol 46 (3) ◽  
pp. 259-266
Author(s):  
Laura Han ◽  
Alison Downing ◽  
David Farr ◽  
Kaushik Dasgupta ◽  
Duncan Stewart
Keyword(s):  
Case Report ◽  
Treatment Planning ◽  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Dentigerous Cyst ◽  
Histopathological Diagnosis ◽  
Odontogenic Tumour ◽  
Adenomatoid Odontogenic Tumour

This case report aims to increase awareness of how an adenomatoid odontogenic tumour (AOT) can present in a similar fashion to a dentigerous cyst and the importance of accurate histopathological diagnosis. In this case, the AOT resulted in loss of the upper left permanent canine in a patient who already had a congenitally absent upper left second premolar, compromising the original orthodontic treatment plan.

scholarly journals An Innovative Miniscrew-Based Jig for Unilateral Total Arch Mesialization

2020 ◽  
Vol 11 (2) ◽  
pp. 9669-9679
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Treatment Goals ◽  
Periodontal Status ◽  
Temporary Anchorage Devices ◽  
Novel Approach ◽  
Asymmetry Correction ◽  
Dental Crowding

To describe the management of a case with skewed dental arches and midlines deviation using a novel approach based on temporary anchorage devices (TADs) to derogate the deviated arches by unilateral total arch mesialization. This study presents the treatment course of a 25-year-old man undergone a previous improper orthodontic treatment with unnecessary extraction of the upper and lower right first premolar teeth leading to asymmetric dental arches. The patient complained of dental crowding, an unaesthetic smile arch, and the maxillary and mandibular dental midline deviation. The proposed treatment plan goals were decrowding and correction of both arches asymmetry and achievement of coincident upper and lower dental midlines. The corrective treatment plan consisted of total arch mesialzation in both dental arches using an innovative TAD assisted jig. The overall treatment was accomplished in 28 months with significant improvement in facial aesthetic and reasonable periodontal status. This innovative clinical biomechanical setup of miniscrew-anchored sliding jig helped us achieve all the treatment goals (total dental arches mesialization, dental midline deviation correction, and ideal final aesthetic and occlusion) in a reasonable period of time. With proper planning, innovative designs based on TADs are effective alternatives in challenging cases such as uni or bilateral dental arches mesialization, and dental asymmetry correction.

scholarly journals The Correction of Maxillary Deficiency with Internal Distraction Devices: A Multidisciplinary Approach

2013 ◽  
Vol 14 (5) ◽  
pp. 957-962
Author(s):  
A Alper Öz ◽  
Mete Özer ◽  
Lütfi Eroglu ◽  
Oguz Suleyman Özdemir
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Multidisciplinary Approach ◽  
Cleft Lip And Palate ◽  
Multidisciplinary Treatment ◽  
Multidisciplinary Care ◽  
Cleft Lip Palate ◽  
Maxillary Deficiency ◽  
Internal Distraction

ABSTRACT Aim The purpose of this case report is to present the orthodontic, surgical and restorative treatments in the case of an operated cleft lip and palate and severe maxillary deficiency in a 14-year-old female patient. Background Only orthodontic treatment could be inefficient for cleft lip and palate patients characterized with maxillary hypoplasia. Orthodontic and surgical treatment shows sufficient results, especially with severe skeletal deficiency. Case report A cleft lip and palate patient required complex multidisciplinary treatment to preserve health and restore esthetics. Dental leveling and alignment of the maxillary and mandibular teeth were provided before the surgery. Maxillary advancement and clockwise rotation of the maxillary-mandibular complex was applied by a Le Fort 1 osteotomy with two internal distraction devices. After the active treatment including orthodontic treatment and orthognathic surgery, upper full mouth ceramic restoration was applied. Conclusion This report shows the efficiency of internal distraction devices in cleft lip palate patients and exemplifies the multidisciplinary care required for such difficult cases. Clinical significance Stable improved occlusion and skeletal relations were observed after a follow-up examination period of 12 months. How to cite this article Öz AA, Özer M, Eroglu L, Özdemir OS. The Correction of Maxillary Deficiency with Internal Distraction Devices: A Multidisciplinary Approach. J Contemp Dent Pract 2013;14(5):957-962.

scholarly journals Multidisciplinary Therapy of Extensive Oligodontia: A Case Report

2013 ◽  
Vol 24 (2) ◽  
pp. 174-178 ◽  
Author(s):  
Thaís Marques Simek Vega Gonçalves ◽  
Letícia Machado Gonçalves ◽  
José Ribamar Sabino-Bezerra ◽  
Alan Roger Santos-Silva ◽  
Wander José da Silva ◽  
...  
Keyword(s):  
Case Report ◽  
Speech Therapy ◽  
Social Acceptance ◽  
Treatment Plan ◽  
Multidisciplinary Treatment ◽  
Open Bite ◽  
Permanent Teeth ◽  
Anterior Open Bite ◽  
Tongue Position ◽  
Two Phases

Oligodontia is a rare congenital disorder consisting in the absence of six or more teeth. This case report describes a multidisciplinary treatment approach for a 12-year-old male with absence of 11 permanent teeth. Prior to any procedure, all primary teeth were scheduled for extraction due to poor crown-to-root ratio. The treatment plan comprised two phases: 1. orthodontic and speech therapy aimed at overbite and anterior open bite adjustment, as well as tongue position improvement; and 2. prosthetic treatment by insertion of removable temporary partial dentures. The multidisciplinary treatment involving orthodontics, speech and prosthetic therapies have reestablished the masticatory function and aesthetics, allowing the patient to achieve greater self-esteem and better social acceptance.

Considerations for vertical control with microimplants in a idiopathic condylar resorption patient: A case report

2021 ◽  
pp. 146531252110022
Author(s):  
Hyung-Kyu Noh ◽  
Hyo-Sang Park
Keyword(s):  
Case Report ◽  
Treated Patient ◽  
Treatment Plan ◽  
Joint Disease ◽  
Careful Examination ◽  
Facial Aesthetics ◽  
Vertical Control ◽  
Mandibular Position ◽  
Facial Pattern ◽  
Condylar Volume

Idiopathic condylar resorption (ICR) is a rare, destructive temporomandibular joint disease characterised by progressive resorption of the condyles. This case report presents a record of an orthodontically treated patient with ICR with favourable posttreatment remodelling of the condyles. An 18-year-old woman sought treatment for ICR. A severe Class II high-angle facial pattern with resorption of bilateral condyles was evident. The treatment plan was determined after careful examination of condylar radiographs and comprised forward rotation of the mandible through full-arch intrusion with microimplants after extraction of the four premolars. The treatment was completed in 35 months, and the patient was noted to have a straight profile, good interdigitation and slightly increased condylar volume. Two years after retention, the condyles were stable, and the patient’s profile and occlusion remained acceptable despite a mild relapse of the mandibular position. ICR was successfully corrected with orthodontic treatment. Counter-clockwise mechanics applied during the ICR remission period not only improved facial aesthetics but were also suitable for condylar unloading.

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