Management of Patient with Aggressive Periodontitis by Orthodontic and Prosthodontic Collaboration

DENTA ◽  
2017 ◽  
Vol 11 (1) ◽  
pp. 80
Author(s):  
Chaterina Diyah Nanik K ◽  
Anindita Apsari
Keyword(s):  
Orthodontic Treatment ◽  
Young Patients ◽  
Interdisciplinary Approach ◽  
Aggressive Periodontitis ◽  
Definitive Treatment ◽  
Dental Arch ◽  
Preliminary Treatment ◽  
Young Adult Patient ◽  
Anterior Teeth ◽  
Long Span Bridge

<p><strong><em>Background:</em></strong><em> One of the most common inflammation disease in the oral cavity for the past few years is the aggressive form of periodontitis. Common signs of aggressive periodontitis is the mobility of teeth especially in incisive and first molars, and occuring mostly in young patient. Young patients whose losing her anterior teeth, are a real challenge for dentist and prosthodontist. Prosthodontist need to consider both functional and esthetic aspects. <strong>Objective:</strong> Rehabilitation of young adult patient with aggressive periodontitis by an interdisciplinary approach of orthodontist and prosthodontist. <strong>Case Description:</strong> A young woman, suffered from aggressive periodontitis with major complain of her teeth mobility, especially incisive and first molar in mandible. She had undergone periodontal treatment, but the result was failed. The anterior teeth in mandible need to be extracted, therefore patient wished not to be in edentulous state. As preliminary treatment, we choose immediate denture to replace the anterior mandible teeth. We faced difficulties in mandible, because her right canine weren’t in the proper dental arch. So we asked orthodontist to place fixed orthodontics in mandible, to get the canine back in the proper arch. We’ve chosen orthodontic treatment,because we didn’t want to extract the canine teeth. We evaluated in six months and after the canine back in the proper arch, we proceed to long span bridge in mandible as our definitive treatment. <strong>Conclusion:</strong> By not extracting the canine teeth, we got some advantages, especially patient psychically was happier with her own teeth. The collaboration with another dentistry field, provides us better treatment for patient. After treatment, patient had no complaints and was happy with her new smile.</em></p><p><strong><em>Keywords:</em></strong><em>  Prosthodontic rehabilitation, aggressive periodontitis, orthodontic treatment, esthetic</em><em>.</em></p><strong><em>Correspondence:</em></strong><em> Chaterina Diyah Nanik. K; Department of Prostodontitics, Faculty of Dentistry, Hang Tuah University, Arif Rahman Hakim 150, Surabaya; Phone 031-5912191, Email: </em><a href="mailto:[email protected]"><em>[email protected]</em></a>

scholarly journals Orthodontic treatment in the presence of aggressive periodontitis

2021 ◽  
Vol 26 (6) ◽  
Author(s):  
Alexandre Trindade Simões da MOTTA
Keyword(s):  
Orthodontic Treatment ◽  
Alveolar Bone ◽  
Young Patients ◽  
Interdisciplinary Approach ◽  
Aggressive Periodontitis ◽  
Common Symptom ◽  
Immune Deficiencies ◽  
Periodontal Destruction ◽  
The Impact

ABSTRACT Introduction: Aggressive periodontitis causes periodontal destruction, with loss of supporting alveolar bone. The common symptom is rapid attachment loss in the first molar and incisor area, in young adults. Objective: The aim of this study was to discuss the challenges, implications and the impact of orthodontic treatment in patients affected by severe periodontal problems, specifically aggressive periodontitis. Discussion: In addition to other bacteria, the main pathogen involved in aggressive periodontitis is the Aggregatibacter actinomycetemcomitans. However, the susceptibility to the disease differs among individuals, being immune deficiencies the main reason for this variability. Many orthodontists are not comfortable about performing treatments on individuals with aggressive periodontitis. Conclusion: Orthodontic treatment is feasible in young patients with severe and localized aggressive periodontitis, as long as the limitations imposed by the disease are respected. An interdisciplinary approach is required, with frequent periodontal follow-up before, during and after orthodontic treatment, allowing the correction of dental positions without aggravating bone loss.

scholarly journals Therapeutic option for esthetic oral rehabilitation in young patients

2016 ◽  
Vol 62 (4) ◽  
pp. 209-213
Author(s):  
Lavinia Buţincu ◽  
◽  
Simona Andreea Moraru ◽  
Vanda Roxana Nimigean ◽  
Daniela Bădiţă ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Oral Surgery ◽  
Therapeutic Option ◽  
Young Patients ◽  
Treatment Needs ◽  
Anterior Maxilla ◽  
Orthodontic Therapy ◽  
Dental Esthetics ◽  
Anterior Teeth ◽  
First Choice

Purpose: To emphasize the esthetic result of bringing anterior teeth into alignment with orthodontic treatment, as a mean of smile makeover. Material and method: Clinical and imagistic evaluations were performed in 4 patients with chief complaints related to poor dental esthetics. An interdisciplinary approach integrating orthodontics, oral surgery and prosthetics into oral treatment planning was performed. The patients underwent orthodontic treatment. Teeth extraction in the laterally maxilla were performed for space management. Results and discussions: Initial situations and final results were clinically and imagistically compared. Considerable esthetic improvement was noticed in all cases and all patients were satisfied with the final results. Conclusions: Orthodontic therapy is the first choice in cases with crowding in the anterior maxilla and complex treatment needs. The esthetic results of orthodontic therapy are unique.

scholarly journals Orthodontic Management in Aggressive Periodontitis

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Rajesh Gyawali ◽  
Bhagabat Bhattarai
Keyword(s):  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Treatment Plan ◽  
Orthodontic Tooth Movement ◽  
Interdisciplinary Approach ◽  
Aggressive Periodontitis ◽  
Rapid Progression ◽  
Orthodontic Patients ◽  
Proper Force

Aggressive periodontitis is a type of periodontitis with early onset and rapid progression and mostly affecting young adults who occupy a large percentage of orthodontic patients. The role of the orthodontist is important in screening the disease, making a provisional diagnosis, and referring it to a periodontist for immediate treatment. The orthodontist should be aware of the disease not only before starting the appliance therapy, but also during and after the active mechanotherapy. The orthodontic treatment plan, biomechanics, and appliance system may need to be modified to deal with the teeth having reduced periodontal support. With proper force application and oral hygiene maintenance, orthodontic tooth movement is possible without any deleterious effect in the tooth with reduced bone support. With proper motivation and interdisciplinary approach, orthodontic treatment is possible in patients with controlled aggressive periodontitis.

scholarly journals The Effect of Different Lower Third Molar Conditions on the Re-Crowding of Lower Anterior Teeth in the Absence of Tight Interproximal Contacts One-Year Post Orthodontic Treatment: A Pilot Study

2004 ◽  
Vol 5 (3) ◽  
pp. 66-73 ◽  
Author(s):  
Khalid M. Al-Balkhi
Keyword(s):  
Pilot Study ◽  
Orthodontic Treatment ◽  
Third Molar ◽  
Dental Arch ◽  
Third Molars ◽  
Lower Incisor ◽  
Exact Test ◽  
Anterior Teeth ◽  
One Year ◽  
The One

Abstract The role of lower third molars in lower incisor crowding is a debatable topic. Some believe the presence or eruption of lower third molars is associated with the crowding of mandibular incisors, others negate such association. Thirty-two newly debonded orthodontic patients, with ages ranging from 14-19 years, were randomly selected. No retainers were used for the lower dental arch. Removal of tight interproximal contacts of the lower anterior teeth was created and maintained by periodic abrasive stripping every 2-3 months, if needed. The cases were followed up for one year. Orthopantomographs (OPGs) and study casts were taken at debonding (post-treatment) and at the end of the one year follow up (post retention). Statistical analysis of the lower third molar conditions – erupted, unerupted, or missing with or without sufficient space for their eruption – versus re-crowding of lower incisors was evaluated using Fisher's Exact Test. The results of this pilot study revealed there was no significant correlation between the different conditions of the lower third molars versus lower anterior re-crowding in the absence of tight interproximal incisal contacts; however, a larger sample size is needed to verify such findings. Citation Al-Balkhi KM . The Effect of Different Lower Third Molar Conditions on the Re-Crowding of Lower Anterior Teeth in the Absence of Tight Interproximal Contacts One-Year Post Orthodontic Treatment: A Pilot Study. J Contemp Dent Pract 2004 August;(5)3:066-073.

scholarly journals Perawatan Ortodontik Cekat pada Pasien disertai Bruxism dengan Teknik Edgewise yang dikombinasikan dengan Trainer for Braces

2016 ◽  
Vol 1 (1) ◽  
pp. 33
Author(s):  
Siska Septania Krisnanda ◽  
Soekarsono Hardjono ◽  
Sri Suparwitri
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Orthodontic Treatment ◽  
Effective Therapy ◽  
Class I ◽  
Dental Arch ◽  
Skeletal Class ◽  
Anterior Teeth ◽  
Angle Class ◽  
Arch Bar

Bruxism merupakan suatu kebiasaan parafungsional berupa gerakan menggertakan dan menggerus gigi. Tidak jarang pasien yang mempunyai kebiasaan bruxism memerlukan perawatan ortodontik. Perawatan bruxism dapat dilakukan bersamaan dengan perawatan ortodontik cekat. Studi kasus ini bertujuan untuk menganalisa efek Trainer for Braces (T4B) pada pasien bruxism yang memerlukan perawatan ortodontik cekat. Pasien perempuan usia 21 tahun, mengeluhkan gigi berjejal dan tidak rapi. Pemeriksaan objektif menunjukkan bidental protrusi, crowding rahang atas dan rahang bawah, deep overbite, konstriksi berat pada regio gigi premolar dan molar rahang atas dan rahang bawah, 47 linguoversi dan disertai bruxism. Maloklusi Angle Kelas I dengan hubungan skeletal Kelas I, bidental protrusi, overjet 3,7 mm, overbite 4 mm, crowding, edge to edge bite, cross bite dan bruxism. Pasien dirawat menggunakan alat ortodontik cekat teknik Edgewise dengan alat tambahan Lingual Arch Bar untuk ekspansi rahang dan koreksi 47 yang linguoversi dan Trainer for Braces (T4B) untuk bruxism. Setelah 8 bulan perawatan, crowding rahang atas dan rahang bawah terkoreksi, ekspansi rahang dapat tercapai, 47 yang linguoversi terkoreksi, overjet dan overbite berkurang menjadi 3,5 mm, perawatan pada pasien masih berlangsung hingga saat ini. Kombinasi perawatan ortodontik cekat dengan penggunaan alat tambahan seperti Trainer for Braces (T4B) efektif untuk membantu koreksi maloklusi pada pasien bruxism. ABSTRACT: Edgewise Technique Combined with Trainer for Braces for Bruxism Patient. Bruxism is a parafunctional habit of grinding and clenching the teeth. It is common for patients with fixed orthodontic treatment to experience bruxism. When dealing with these patients, clinicians could initiate the bruxism treatment in conjunction with the orthodontic treatment. This case report will analyze the effects of Trainer for Braces (T4B) in a patient with malocclusion and bruxism habit. A 21 year old female patient complained of her crowding in upper and lower anterior teeth. The objective examination shows protrusion and crowding in upper and lower teeth, deep overbite, severe maxillary and mandibulary constriction, 47 linguoversion and bruxism habit. Angle Class I with skeletal Class I malocclusion, bidental protrusion, overjet 3.7 mm, overbite 4 mm, crowding, edge to edge bite, crossbite and bruxism habit. The orthodontic treatment used fixed preadjusted Edgewise appliance with Lingual Arch Bar for expansion and lingoversion molar correction. Trainer for Braces (T4B) was also prescribed to treat her bruxism. After 8 months of treatment, the crowding in upper and lower teeth was corrected, dental arch expansion was achieved, linguoversion molar was corrected, and overjet and overbite became 3.5 mm and the treatment was still on going. The combination of fixed preadjusted Edgewise appliance with Trainer for Braces (T4B) can be considered as an effective therapy for correcting malocclusion in bruxism patient.

scholarly journals Combined Orthodontic and Restorative Minimally Invasive Approach to Diastema and Morphology Management in the Esthetic Area. Clinical Multidisciplinary Case Report with 3-Year Follow-Up

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
L. Giannetti ◽  
R. Apponi
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Orthodontic Treatment ◽  
Interdisciplinary Approach ◽  
Careful Consideration ◽  
Clinical Report ◽  
Anterior Portion ◽  
Invasive Approach ◽  
Anterior Teeth ◽  
First Choice

Introduction. Ceramic laminates are restorations that are bonded using adhesive techniques, which provide for the treatment of the prepared dental elements according to well-defined steps. Adhesive cementation guarantees high predictability and esthetics. Orthodontic treatment is the first choice in patients with a dental misalignment. Patients who have dental element color and shape issues will undergo restorative treatment following orthodontics. Case Report. This clinical report describes a case treated with an interdisciplinary approach (orthodontic and prosthetic) of a patient who presented with diastemas, inversion of dental axes, small clinical crowns, and chromatic imperfections in the anterior maxillary teeth. The esthetic expectations of the patient for the anterior portion of the maxillary anterior teeth have been successfully achieved through orthodontic treatment and the realization of ceramic veneers. An accurate interdisciplinary evaluation of the treatment was necessary for a satisfactory result in the anterior maxillary teeth esthetically compromised in several aspects. Discussion. The modern materials used with the strict protocol of the adhesive procedures allow a minimally invasive, highly esthetic approach with an excellent long-term prognosis. The restorations must reproduce the physiological characteristics of the natural teeth aiming at an excellent biological, biomechanical, functional, and esthetic integration. Many adult patients come to visit with a combination of problems; the esthetic rehabilitation of these cases requires the evaluation of the quantity of gingival exposure, of the gingival architecture, of the size of the clinical crowns, and of the dental position. The ideal treatment of these cases involves an interdisciplinary approach. Prosthodontists, periodontists, orthodontists, and dental technicians must work together because the understanding of the various phases of treatment is fundamental to achieve the desired clinical result. Conclusion. The coordinated treatment of the orthodontist, periodontist, and prosthodontist, with careful consideration of the expectations and requests of patients, was fundamental for the success and satisfaction of the patient.

scholarly journals Orthodontic Treatment of Bilateral Transposition of Maxillary Canines and Lateral Incisors

2022 ◽  
Vol 2022 ◽  
pp. 1-9
Author(s):  
Mandla Dominic Nyakale
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Options ◽  
Patient Comfort ◽  
Dental Arch ◽  
Functional Requirements ◽  
Tooth Position ◽  
Young Adult Patient ◽  
Patient Cooperation ◽  
Dental Aesthetics ◽  
Root Apices

Dental transposition is a severe disturbance of tooth position and its eruptive sequence. It may affect any tooth, and it may occur at any location within the dental arch, although some teeth may be more frequently affected than others. There are several types of dental transposition, and their classification depends on the type of teeth involved. The aetiology of transposition is not very clear and has always been the subject of controversies, and it is still not completely understood. The prevalence of dental transposition and the factors related to this dental anomaly have been well documented in the literature. When treating dental transposition, many factors which may affect the treatment results must be considered, such as aesthetics, occlusion, treatment duration, patient comfort, patient cooperation, and periodontal support. Various treatment options are currently available for the treatment of dental transposition. Successful treatment outcomes depend on the patient’s age, concern about facial and dental aesthetics, motivation of the patient, functional requirements, type of malocclusion, and the position of the root apices. The present case report is aimed at outlining the orthodontic treatment of a young adult patient diagnosed with bilateral maxillary canine-lateral incisor transposition.

scholarly journals Perawatan Maloklusi Angle Klas I dengan Gigi Depan Crowding Berat dan Cross Bite Menggunakan Teknik Begg pada Pasien dengan Kebersihan Mulut Buruk

2014 ◽  
Vol 21 (2) ◽  
pp. 204
Author(s):  
Sri Wahyuningsih ◽  
Soekarsono Hardjono ◽  
Sri Suparwitri
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Class I ◽  
Dental Arch ◽  
Class Iii ◽  
Anterior Teeth ◽  
Short Period ◽  
Skeletal Pattern ◽  
Good Improvement ◽  
Lower Arch

Gigi depan crowding/berjejal parah dan cross bite adalah kasus yang sering dijumpai pada perawatan ortodontik. Gigi crowding dapat menyulitkan membersihkan mulut pada area gigi crowding sehingga dapat menyebabkan masalah periodontal. Salah satu keuntungan perawatan ortodontik cekat dengan teknik Begg adalah menghasilkan gaya yang ringan dalam megkoreksi gigi berjejal dan cross bite dapat memberikan kenyamanan pada pasien. Tujuan perawatan ini adalah untuk mengkoreksi gigi berjejal dan cross bite dalam waktu yang singkat menggunakan teknik Begg. Seorang pasien wanita umur 24 tahun dengan maloklusi Angle klas I dan skeletal klas III protrusif mandibula, gigi depan crowding berat dan cross bite, konstraksi lengkung pada kedua rahang, pergeseran median line rahang atas dan bawah disertai, gingivitis berat dan karies. Skaling, perawatan saluran akar dan pencabutan gigi non vital dilakukan sebelum perawatan ortodontik dilakukan. Koreksi dengan teknik Begg memerlukan waktu selama 6 bulan untuk mengkoreksi gigi crowding dan cross bite semuanya dalam waktu yang sama. Koreksi kasus gigi depan crowding berat dan cross bite disertai masalah periodontal dapat dilakukan dengan teknik Begg dalam waktu yang singkat dengan kemajuan yang bagus. Treatment of Class I Angle Malocclusion with Severe Crowding and Crossbite of Anterior Teeth Using Begg Technique in Bad Oral Hygiene Patient. The severe crowding and cross bite of anterior teeth were very common type cases in orthodontic. Crowding teeth compromised the oral hygiene due to the difficulty in oral cleansing on the crowding area that cause periodontal problem. One of advantages of fixed orthodontic treatment using Begg technique produced the light forces in correcting crowding and cross bite could give convenience to patients. The purpose of this treatment is to correct crowding and cross bite in a short period of time using Begg technique. A 24 years old female patient with Class I Angle malocclusion and class III skeletal pattern mandible protrusion, severe crowding and cross bite of anterior teeth, constricted dental arch on both jaws, mid shifting on the upper and lower arch compromised with severe gingivitis as well as caries. Scaling, root canal treatment and extraction of the non vital teeth were done before starting orthodontic treatment. The correction using Begg technique took 6 months to correct all the crowding and cross bite at the same time. The correction of the severe crowding case with cross bite of anterior teeth as well as periodontal problem can be done with Begg technique in short period of time with a good improvement.

Simple bone cyst: Uncommon cyst of jaw

2020 ◽  
Vol 5 (3) ◽  
pp. 1252-1254
Author(s):  
Gopal Gurung ◽  
Laxmi Prasad Chapagain ◽  
Yagya Bahadur Rokaya
Keyword(s):  
Orthodontic Treatment ◽  
Bone Cyst ◽  
Definitive Treatment ◽  
Simple Bone Cyst ◽  
Jaw Cysts ◽  
Surgical Exploration ◽  
X Ray ◽  
Dental Examination ◽  
Distal Surface ◽  
Hollow Cavity

Simple bone cyst (SBC) of the jaws is uncommon, representing approximately 1% of all jaw cysts. It is often accidentally discovered on routine dental examination as it is asymptomatic in most of cases. In this report, we discuss a case of SBC in a 16 years old female who presented in our department for correction of her mal-aligned teeth. On routine x-ray for orthodontic treatment, a well defined, unilocular radiolucent area approximately 3x1cm in size with scalloped borders on the left body of mandible expanding from distal surface of 34 to distal surface of 37 was discovered. Surgical exploration was required for both diagnostic and definitive treatment. The operative finding was hollow cavity without any epithelial lining.

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