scholarly journals The importance of orthodontic treatment for the increase of the radical overlay previsibility: Case report

2021 ◽  
Vol 10 (6) ◽  
pp. e36510613526
Author(s):  
Angélica Kercya Pereira de Mendonça ◽  
Renata Suellen Galvão da Silva Costa ◽  
Halissa Simplicio Gomes Pereira ◽  
Ruthineia Diógenes Alves Uchôa Lins ◽  
Ana Rafaela Luz de Aquino Martins ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Dental Treatment ◽  
Gingival Recession ◽  
Clinical Report ◽  
Orthodontic Movement ◽  
Root Exposure ◽  
The Right ◽  
Gingival Graft

Introduction: Gingival recession is established through several factors and its treatment can be planned integrating surgical procedures with the aid of orthodontic treatment. Methods: In this context, a 36-year-old woman sought dental treatment to realign the right lower central incisor. A localized gingival recession was verified, being related to poor positioning of the root. The patient had undergone previous orthodontic treatment, as well as periodontal surgical treatment, after which there was no success. Results: After the planning of the case, the dental element was reallocated through orthodontic movement and then the periodontal surgical treatment was performed. With the results obtained, the improvement of gingival recession through orthodontic and periodontal surgical treatment is discussed. Conclusions: This clinical report shows that the gingival graft, performed after tooth movement, can increase the probability of good results in reducing root exposure.

scholarly journals The Effects of Orthodontic Movement on a Subepithelial Connective Tissue Graft in the Treatment of Gingival Recession

2010 ◽  
Vol 11 (6) ◽  
pp. 73-79 ◽  
Author(s):  
Ivan Pedro Taffarel ◽  
Ana Leticia Rocha Avila ◽  
Gabriela Molina Silva ◽  
Maria Cecilia Galacini Añez
Keyword(s):  
Connective Tissue ◽  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Orthodontic Tooth Movement ◽  
Gingival Recession ◽  
Good Prognosis ◽  
Connective Tissue Graft ◽  
Orthodontic Movement ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft

Abstract Aim The purpose of this article is to report on the five-year follow-up of a case involving treatment of gingival recession with a subepithelial connective tissue graft prior to orthodontic tooth movement. Background Gingival recession has a global prevalence that varies from 3 to 100 perpcent depending on the population studied and the method of analysis. In addition, the frequency of recession seems to be positively correlated with age. Planned orthodontic tooth movement is not necessarily an etiological factor for gingival recession, so long as it does not move the tooth out of its alveolar process. When the tooth is shifted without adequate biomechanical control, bone dehiscence can develop, and the recession can occur as a consequence of the orthodontic treatment. Case Description A 19.6-year-old female patient was referred for orthodontic treatment due to severe anterior-inferior dental crowding and a mandibular right lateral incisor in linguoverson and 4.0 mm of gingival recession on the labial surface. Normal gingival architecture was restored with a subepithelial connective tissue graft used to cover the 4.0 mm defect, after which orthodontic treatment repositioned the malposed incisor into its correct occlusal alignment. Individualized torque was applied to the mandibular right central incisor during the orthodontic treatment. The patient was reevaluated five years after completion of the orthodontic treatment. Results At the five-year recall appointment, the patient exhibited normal tooth alignment and generalized normal gingival architecture; however, 2 mm of gingival recession was noted on the graft site. Summary This case demonstrated that periodontal surgical correction of facial gingival recession with a subepithelial graft may be performed prior to initiating orthodontic treatment. Clinical Significance The interdisciplinary association between orthodontics and periodontics contributes to good prognosis and acquisition or maintenance of the periodontal tissue health, masticatory function, esthetics, and patient satisfaction. The subepithelial connective tissue graft placed prior to the orthodontic movement showed satisfactory results five years after completion of the orthodontic treatment. Citation Tanaka OM, Avila ALR, Silva GM, Añez MCG, Taffarel IP. The Effects of Orthodontic Movement on a Subepithelial Connective Tissue Graft in the Treatment of Gingival Recession. J Contemp Dent Pract [Internet]. 2010 December; 11(6):073-079. Available from: http://www.thejcdp. com/journal/view/volume11-issue6-tanaka

Changes of Periodontal Tissues Because of Orthodontic Treatment: A Retrospective Study

2021 ◽  
pp. 232020682110034
Author(s):  
Hamad Alzoman ◽  
Khalid Alamoud ◽  
Waad K. Alomran ◽  
Abdullazez Almudhi ◽  
Naif A. Bindayel
Keyword(s):  
Retrospective Study ◽  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Positive Impact ◽  
Demographic Data ◽  
Gingival Recession ◽  
Confounding Factors ◽  
Crown Height ◽  
Periodontal Tissues ◽  
Before And After

Aim: To evaluate the periodontal status before and after orthodontic treatment and to analyze the confounding factors associated with it. Materials and Methods: The present retrospective study analyzed pre- and posttreatment records of a total of 60 patients. Intraoral digital photographs before and after the orthodontic treatment were used to measure the following three periodontal variables: (a) width of the keratinized gingiva, (b) gingival recession, and (c) the status of interdental papilla. The ImageJ 46 software imaging program was used to perform the required measurements. The clinical data were then analyzed in an association with the participants’ demographic data, the type of orthodontic tooth movement, and other confounding factors. The data obtained were manually entered into the statistical package and analyzed using a significance level set at P < .05. Descriptive statistics, paired t-tests, and Pearson’s correlation analysis were used to identify differences among the studied variables. Results: Among the 60 patients, the majority (66.7%) were females. Most cases of the treated malocclusion were Class II, and most patients underwent intrusion and retrusion movements. The width of keratinized gingiva increased for most sites of upper teeth. In contrast, the lower teeth showed a mix of improvement and compromised width of keratinized gingiva. As a measure of gingival recession, the difference of clinical crown height revealed the tendency toward a reduced clinical crown height for most sites. Upper left lateral incisors and canines showed significant values with regard to keratinized gingival width measurements and tooth movements such as extrusion and intrusion movements. Likewise, with regard to the clinical crown height, upper right central incisors showed significant differences when correlated with the interincisal angle, lower incisors to the mandibular plane, and upper incisors to the NA line. The upper lateral incisors also showed significant correlations to certain cephalometric measurements. Conclusions: The orthodontic treatment was found to exert a significantly positive impact on the surrounding periodontium, particularly in the upper canine areas. Likewise, various types of tooth movement were found to positively affect the periodontium.

scholarly journals Physiologic Midtreatment Tooth Movement as a Correction Strategy for Iatrogenic Root Exposure

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Adith Venugopal ◽  
Paolo Manzano ◽  
M. Srirengalakshmi ◽  
Anand Marya ◽  
Nikhilesh R. Vaid ◽  
...  
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Root Position ◽  
Root Exposure ◽  
Dental Crowding

In the case report showcased, we describe orthodontic treatment of a female patient with an excessive gingival display on smiling and severe dental crowding, with maxillary canines positioned excessively buccal (ectopic) to and in near transposition to the lateral incisors. The treatment involved extractions and initial use of unmitigated forces leading to excessive gingival thinning and buccal root positioning of the ectopic canines. Eventually, the root position was corrected and periodontal equilibrium was attained. On finishing the treatment, all objectives were achieved with a good esthetic outcome as well as excellent dental and occlusal relationships.

scholarly journals The action of corticosteroids on orthodontic tooth movement: a literature review

2012 ◽  
Vol 17 (6) ◽  
pp. 20e1-20e5
Author(s):  
Luegya Amorim Henriques Knop ◽  
Ricardo Lima Shintcovsk ◽  
Luciana Borges Retamoso ◽  
Ana Maria Trindade Grégio ◽  
Orlando Tanaka
Keyword(s):  
Periodontal Ligament ◽  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Orthodontic Tooth Movement ◽  
Sterile Inflammation ◽  
X Rays ◽  
Pharmacological Agents ◽  
Orthodontic Movement ◽  
Multiple Reactions ◽  
Biomechanical Forces

INTRODUCTION: Tooth movement is initially characterized by an acute sterile inflammation, followed by sequential multiple reactions in the periodontal ligament in response to biomechanical forces. Pharmacological agents such as corticosteroids may affect the course of orthodontic movement. Scientific studies show antagonistic actions of these drugs on bone resorption during tooth movement. OBJECTIVE: To review the literature about the effect of corticosteroids on orthodontic tooth movement. CONCLUSION: Patients should be questioned regarding the use of these drugs in the orthodontic practice and for those who use them, the orthodontic treatment should be differentiated, with longer intervals between visits and periodic X-rays due to the delay in bone formation observed in some scientific studies.

scholarly journals A Prosthodontic Approach as a Complementary Solution for a Complicated Orthodontic Treatment of a Patient with Cleidocranial Dysplasia

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Joanna Jasnoch ◽  
Maria Zielke ◽  
Izabela Maciejewska
Keyword(s):  
Orthodontic Treatment ◽  
Well Being ◽  
Open Bite ◽  
Cleidocranial Dysplasia ◽  
Second Phase ◽  
Clinical Report ◽  
Aesthetic Outcome ◽  
Occlusal Vertical Dimension ◽  
The Aesthetic ◽  
The Right

This clinical report describes a prosthodontic rehabilitation of a 29-year-old patient with cleidocranial dysplasia (CCD), who, after completing an orthodontic treatment, was not satisfied with the aesthetic outcome. Besides aesthetics, the patient complained about mastication muscles pain, and clicking while eating but was not aware about her unilateral open bite on the right side. The aim of this treatment was to improve smile appearance and patient’s well-being, as well as to restore the proper occlusal vertical dimension (OVD) along with complete intercuspation and to establish masticatory function. The first phase of the treatment concentrated on eliminating the muscle pain and temporomandibular joint (TMJ) clicking with a repositioning splint. During the second phase, the functional and aesthetic rehabilitation was obtained using adhesive prosthesis overlays and veneers.

scholarly journals Complex Treatment III class of gum recession

2020 ◽  
Vol 18 (3) ◽  
pp. 82-86
Author(s):  
L. A. Ananieva ◽  
G. S. Runova
Keyword(s):  
Surgical Treatment ◽  
Oral Cavity ◽  
Gingival Recession ◽  
Anterior Region ◽  
Standard Protocol ◽  
Complex Treatment ◽  
Free Gingival Graft ◽  
One Stage ◽  
Donor Area ◽  
Gingival Graft

The recessions of the 3 Miller class are the most difficult in the prediction of the result during surgical treatment. Such recession in the anterior region of the mandible is often combined with a small vestibule of the oral cavity. The treatment of combined pathology in the standard protocol was provided in 2 stages: correction of small vestibule of the oral cavity and elimination of the recession by the method of the coronal advanced flap.Aim. To develop the protocol of one-stage operation for patients with III miller class gum recession in combination with small vestibule.Materials and metods. Surgical protocole. after conducting anesthesia at the region of the lower teeth held tunnel access to the region of teeth with gingival recession, formed split-thikness flap, discharge below the periodontal line connection 3 mm, mobilization of the flap.The flap is fixed with sutures Polyprophylene 6-0. Taken from the palatal free gingival graft. Placed in the region of holding vestibuloplasty fixed to the periosteum of the simple suture and suturing the donor area in the palate.Results. The patients were found to have closing of the recession, the increase in the area keratinisation gums and keeping of the vestibule in the recovery area.Conclusions. The development of a new one-stage treatment of recession 3 class at Miller in combination with vestibuloplasty allows you to more quickly treat patients with this pathology.

scholarly journals There is no pulp necrosis or calcific metamorphosis of pulp induced by orthodontic treatment: biological basis

2018 ◽  
Vol 23 (4) ◽  
pp. 36-42 ◽  
Author(s):  
Alberto Consolaro ◽  
Renata Bianco Consolaro
Keyword(s):  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Dental Trauma ◽  
Experimental Models ◽  
Orthodontic Appliances ◽  
Laboratory Studies ◽  
Orthodontic Movement ◽  
Tooth Discoloration ◽  
Clinical Models ◽  
Apparently Healthy

ABSTRACT To biologically explain why the orthodontic treatment does not induce pulp necrosis and calcific metamorphosis of the pulp, this paper presents explanations based on pulp physiology, microscopy and pathology, and especially the cell and tissue phenomena that characterize the induced tooth movement. The final reflections are as follows: 1) the orthodontic movement does not induce pulp necrosis or calcific metamorphosis of the pulp; 2) there is no literature or experimental and clinical models to demonstrate or minimally evidence pulp alterations induced by orthodontic movement; 3) when pulp necrosis or calcific metamorphosis of the pulp is diagnosed during orthodontic treatment or soon after removal of orthodontic appliances, its etiology should be assigned to concussion dental trauma, rather than to orthodontic treatment; 4) the two pulp disorders that cause tooth discoloration in apparently healthy teeth are the aseptic pulp necrosis and calcific metamorphosis of the pulp, both only induced by dental trauma; 5) the concussion dental trauma still requires many clinical and laboratory studies with pertinent experimental models, to increasingly explain its effects on the periodontal and pulp tissues.

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 Considerações sobre reimplantes dentários: condutas clínicas e ortodônticas frente a estas situações

2021 ◽  
Vol 41 (1) ◽  
pp. 33-38
Author(s):  
Daniela Soeiro de Souza Rezende ◽  
Márcia Delgado de Ávila ◽  
Eduardo Silveira Ferreira
Keyword(s):  
Literature Review ◽  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Root Resorption ◽  
Orthodontic Tooth Movement ◽  
Clinical Approach ◽  
Orthodontic Appliance ◽  
Minimum Period ◽  
Orthodontic Movement ◽  
One Year

Based on a literature review, the objective of this study is to establish the degree of dental analysis or root resorption that allows replanted teeth to be moved using orthodontic appliance. Some aspects of avulsion and replanted teeth such as etiology, clinical approach and prognosis are considered. It is also presented a literature review of orthodontic tooth movement. According to most authors, the replant is frequently followed by analysis that doesn't allow orthodontic movement. Nevertheless, the lack of resorption signs during a minimum period of one year allows orthodontic treatment when necessary.

scholarly journals Interdisciplinary Orthodontic Treatment to Reestablishment Smile Function and Aesthetics

2021 ◽  
Vol 22 (3) ◽  
pp. 167-172
Author(s):  
Jessica Rico Bocato ◽  
Flávia Maria Cheffer Nory ◽  
Josimar Rosa Francisco ◽  
Ana Claúdia de Castro Ferreira Conti ◽  
Thais Maria Freire Fernandes ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Root Resorption ◽  
Periodontal Tissues ◽  
External Root Resorption ◽  
Fixed Prosthesis ◽  
Orthodontic Extrusion ◽  
The Right ◽  
Crown Lengthening ◽  
Fixed Orthodontic Appliance

AbstractExtrusive tooth movements are an important resource in orthodontic treatment and allow the manipulation of teeth and periodontal tissues. They can be performed quickly or slowly, depending on the patient’s need. Rapid extrusion is indicated for cases in need of prosthetic preparation or restoration, where the bone and gingival tissues are intact, such as horizontal and oblique fractures, coronary or external root resorption, iatrogenic perforations (trepanations) and the presence of subgingival caries. The aim of this study is to describe the treatment of a patient who had a coronary fracture of the right upper central incisor, with a limit located 1 mm above the level of the bone crest. Rapid orthodontic extrusion was performed, to restore biologic distances and allow the preparation for prosthesis. It started with partial differentiated bonding of a fixed orthodontic appliance to the upper arch, to allow for a 3mm orthodontic extrusion. At the end of the extrusion, periodontal surgery was performed to increase the clinical crown and endodontic treatment. After these procedures, the case was concluded with the fixed prosthesis installation. The realization of an integrated planning allowed the restoration of aesthetics, with preservation of the functional periodontal limits for the patient. Keywords: Tooth Movement Techniques. Orthodontic Extrusion. Crown Lengthening. ResumoOs movimentos dentários extrusivos constituem um recurso importante no tratamento ortodôntico e permitem a manipulação dos dentes e dos tecidos periodontais. Eles podem ser realizados de forma rápida ou lenta, dependendo da necessidade do paciente. A extrusão rápida está indicada para casos com necessidade de preparo protético ou restauração, onde os tecidos ósseo e gengival encontram-se íntegros, tais como fraturas horizontais e oblíquas, reabsorções coronárias ou radiculares externas, perfurações iatrogências (trepanações) e presença de cárie subgengival. O objetivo deste trabalho é descrever o tratamento de uma paciente que apresentava fratura coronária do incisivo central superior direito, com limite localizado 1mm acima do nível da crista óssea. Realizou-se extrusão ortodôntica rápida, com a finalidade de restabelecer as distâncias biológicas e permitir o preparo para prótese. Iniciou-se com colagem diferenciada parcial de aparelho ortodôntico fixo no arco superior, para permitir a extrusão ortodôntica de 3mm. Ao término da extrusão, realizou-se cirurgia periodontal para aumento da coroa clínica e tratamento endodôntico. Após esses procedimentos, o caso foi finalizado com a instalação da prótese fixa. A realização de um planejamento integrado permitiu o restabelecimento da estética, com preservação dos limites periodontais funcionais para a paciente.Palavras-chave: Técnicas de Movimentação Dentária. Extrusão Ortodôntica. Aumento da Coroa Clínica.

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