scholarly journals Orthodontic management of a periodontally compromised dentition

2016 ◽  
Vol 6 ◽  
pp. 31-38
Author(s):  
Prashant K. Zaveri
Keyword(s):  
Orthodontic Treatment ◽  
Disease Status ◽  
Main Concern ◽  
Pocket Depth ◽  
Anterior Teeth ◽  
Severe Periodontitis ◽  
Attached Gingiva ◽  
Precautionary Measures ◽  
One Year

Malocclusion superimposed with severe periodontitis may present a great challenge to clinicians while providing orthodontic treatment due the episodic and site-specific nature of the disease with risk of rapid tissue breakdown. However, orthodontic treatment in such situation may contribute significantly to the overall rehabilitation both functionally and esthetically. In this article, a case report outlines a combined periodontic-orthodontic management of compromised dentition. A 37-year-old female patient with significant medical history was treated for Class II Division 1 type of malocclusion associated with spaced upper and lower anterior teeth, deep overbite, and increased overjet, superimposed with chronic generalized periodontitis and bone loss. Treatment was completed using temporary anchorage devices assisted strategically applied force and modified tandem retraction biomechanics amidst management of acute inflammatory episodes during and mucogingival complication after treatment. Affected areas healed very well after post-orthodontic periodontal treatment with minimal pocket depth, and bleeding on probing, and a healthy zone of attached gingiva at the follow up visits. The orthodontic results lead to improvement in patient’s facial profile, lip posture, and correction of protrusion which addressed her main concern. One year follow-up shows good orthodontic and periodontic stability. The report highlights the importance of identifying “at risk” individuals and continuous monitoring of disease status during treatment. Despite all precautionary measures, a flare-up during the treatment can be anticipated.

AESTHETIC AMELIORATION OF GINGIVAL RECESSION BY MODIFIED CORONALLY ADVANCED FLAP PROCEDURE: A 6 MONTHS FOLLOW-UP INTERVENTIONAL STUDY

2021 ◽  
pp. 78-80
Author(s):  
Namburi Rajesh ◽  
Rajendran Poornima
Keyword(s):  
Gingival Recession ◽  
Class I ◽  
Clinical Parameters ◽  
Pocket Depth ◽  
Coronally Advanced Flap ◽  
Probing Pocket Depth ◽  
Anterior Teeth ◽  
Flap Procedure ◽  
Attached Gingiva

Background:In recent times, aesthetics has become a major reason for the patients to seek the dentist. Gingival recession of the anterior teeth leads to long tooth appearance thereby hampering the aesthetics. The aim of the present study is to assess the efciency of modied coronally advanced ap (MCAF) technique in combination with platelet-rich brin (PRF) for recession coverage of Miller's class I and II cases. Materials and method: 10 patients with Miller's class I or class II gingiva were treated by modied coronally advanced ap (MCAF) technique in combination with platelet-rich brin (PRF). The clinical parameters such as gingival index (GI), bleeding on probing (BOP), probing pocket depth (PPD), clinical attachment level (CAL), width of attached gingiva (WAG), thickness of attached gingiva (TAG) and the height of gingival recession (HGR) were recorded at baseline, 3 months and 6 months follow-up visits. Results: All the clinical parameters showed signicant improvement at 3 months and 6 months post-operatively when compared with the baseline values. The results obtained during the initial follow-up visit remained stable over a period of 6 months. Conclusion: MCAF is a foreseeable technique to achieve gingival recession coverage. Additionally, the use of PRF enables in improved WAG and TAG due to the release of growth factors.

scholarly journals Comprehensive orthodontic treatment in an adolescent patient with Class II Division 1 malocclusion and ankylosed maxillary central incisors

2019 ◽  
Vol 9 ◽  
pp. 190-197
Author(s):  
Matthew Wen Jian Lau
Keyword(s):  
Poor Prognosis ◽  
Orthodontic Treatment ◽  
Root Resorption ◽  
Class Ii ◽  
Anterior Teeth ◽  
External Root Resorption ◽  
Facial Esthetics ◽  
Division 1 ◽  
Traumatic Episode

While uncommon in orthodontics, the extraction of central incisors may be indicated when such teeth are of poor prognosis. This report details orthodontic treatment of a 13-year and 5-month-old Chinese female, who presented with Class II/1 malocclusion on a Class II skeletal jaw base relationship. Her maxillary central incisors were ankylosed and had undergone severe external root resorption following a previous traumatic episode. Orthodontic treatment involved removal of the maxillary central incisors and the mandibular first premolars. Pre-adjusted edgewise appliances with MBT prescription were used. To enhance anterior esthetics, prosthetic buildup of the four maxillary anterior teeth was performed before appliance removal. Tight intercuspation of teeth and optimal facial esthetics were achieved at appliance debond and maintained at 2-year follow-up.

One-year follow-up of the effect of fixed orthodontic treatment on colonization by oral candida

2007 ◽  
Vol 37 (1) ◽  
pp. 26-29 ◽  
Author(s):  
Seher Gündüz Arslan ◽  
Nezahat Akpolat ◽  
Jalan Devecioğlu Kama ◽  
Törün Özer ◽  
Orhan Hamamcı
Keyword(s):  
Orthodontic Treatment ◽  
One Year ◽  
Oral Candida

scholarly journals The adult orthodontic patient over 40 years of age: association between periodontal bone loss, incisor irregularity, and increased orthodontic treatment need

2021 ◽  
Author(s):  
Philipp Meyer-Marcotty ◽  
Daniela Klenke ◽  
Larissa Knocks ◽  
Petra Santander ◽  
Valentina Hrasky ◽  
...  
Keyword(s):  
Bone Loss ◽  
Orthodontic Treatment ◽  
Treatment Need ◽  
Group Iii ◽  
Anterior Teeth ◽  
Group I ◽  
Periodontal Breakdown ◽  
Severe Periodontitis ◽  
Periodontal Bone Loss ◽  
Over 40 Years

Abstract Objectives Adult orthodontic treatment, especially in patients over 40 years, is steadily increasing. One causal factor for the treatment need in this age group is periodontal breakdown. The aim of this study was to detect correlations between periodontal problems and orthodontic parameters in interdisciplinary patients. Methods This observational, cross-sectional study included 118 patients over 40 years (51 men/67 women; mean age, 58.03 years) classified into three groups according to periodontal breakdown (group I, controls; group II, moderate periodontitis; group III, severe periodontitis). Clinical periodontal and orthodontic parameters as well as the index of orthodontic treatment need (IOTN) were assessed and compared between the groups. Results A gradual deterioration of all periodontal and orthodontic parameters according to periodontal bone loss (lowest values in group I; highest values in group III) was observed. Especially groups I and III differed significantly regarding the overjet (p < 0.001) and the little indices of the maxilla (p < 0.001) and mandible (p < 0.010). The IOTN was highest in group III: 90% of the patients with severe periodontitis were classified to have moderate to very great treatment need. Conclusions The higher the degree of periodontal breakdown was, the more severe were overjet, overbite, irregularity of the anterior teeth, and the orthodontic treatment need. Clinical relevance Adult patients over 40 years represent a challenge for an orthodontic/periodontal treatment approach with high incidence of pathologic tooth migration, orthodontic treatment need, and periodontal breakdown. Therefore, this special patient collective requires a focus in clinical orthodontics and research.

Two-phase orthodontic treatment of two different types of tooth transposition in the same patient

2021 ◽  
pp. 146531252110157
Author(s):  
Marcelo Soares Correa ◽  
Flávia N Ellinger Correa ◽  
Karina Maria Salvatore de Freitas ◽  
Marcos Roberto de Freitas ◽  
Daniela Gamba Garib ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Time ◽  
Treatment Phase ◽  
Mixed Dentition ◽  
Lateral Incisor ◽  
Dental Arch ◽  
Two Phase ◽  
Main Complaint ◽  
One Year

Orthodontic treatment is thoroughly planned considering the patient’s facial and dental characteristics, the main complaint, treatment time and the orthodontist’s experience. Transposition is a form of ectopia, in which two adjacent teeth exchange positions in the dental arch. Transposition can be partial or complete. This article reports the treatment of a female patient with two kinds of tooth transposition managed in the mixed and permanent dentitions. A girl, aged eight years and three months, came to routine paediatric consultation with an ectopic permanent mandibular left lateral incisor in the mixed dentition. Radiographic analysis indicated partial transposition of the permanent mandibular left lateral incisor and canine (Md.L2.C), and development of a complete tooth transposition between the permanent maxillary right first pre-molar and canine (Mx.C.P1). The patient was treated in two phases. The first, in the mixed dentition, and the second, in the permanent dentition with a three-year follow-up between them. These challenging treatment approaches are described in detail, including the mechanics used. The key points of this treatment were early diagnosis of the ectopic mandibular lateral incisor, use of light forces and interphase patient follow-up. These determined the best time to start the second treatment phase, enabling achievement of aesthetic and functional outcomes, and the results remained stable one year after the end of orthodontic treatment.

scholarly journals No-Prep Semidirect Composite Resin Veneer. A Step-by-Step Case Report in a Deciduous Canine with a One-Year Follow-Up

2020 ◽  
pp. 147-153
Author(s):  
Gerardo Durán O. ◽  
Katherine Zamora
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Composite Resin ◽  
Clinical Report ◽  
Indirect Composite ◽  
One Year

The presence of deciduous canines in adulthood may be of aesthetic concern for patients. Many clinical alternatives include surgical and orthodontic treatment. Since patients search for highly esthetic results and more conservative alternatives, the present clinical report describes a treatment for deciduous canine through an indirect composite resin veneer and an indirect composite resin fragment restoration in a premolar to improve esthetic outcomes with a one-year follow up.

scholarly journals The correlation between external apical root resorption and electric pulp test responses: a prospective clinical trial

2021 ◽  
Vol 26 (3) ◽  
Author(s):  
Farnaz YOUNESSIAN ◽  
Mohammad BEHNAZ ◽  
Mohammadreza BADIEE ◽  
Kazem DALAIE ◽  
Arezou SARIKHANI ◽  
...  
Keyword(s):  
Root Length ◽  
Orthodontic Treatment ◽  
Root Resorption ◽  
Pearson Correlation ◽  
Multiple Linear Regression Model ◽  
Time Intervals ◽  
Apical Root Resorption ◽  
Anterior Teeth ◽  
External Apical Root Resorption

ABSTRACT Objective: The current study investigated the correlation between pulpal sensitivity to the electric pulp tester (EPT) and external apical root resorption (EARR) in four types of maxillary anterior teeth of fixed orthodontic treatment patients. Methods: In this prospective cohort study, 232 anterior teeth of 58 patients (mean age 18.96 ± 6.13 years) treated with fixed orthodontic treatment were examined. The EPT readings were recorded at twelve time points immediately before archwire insertion. Root resorption of four maxillary incisors were measured by means of parallel periapical radiographs at three time intervals (six months interval from the start) through design-to-purpose software to optimize data collection. A multiple linear regression model and Pearson correlation coefficient were used to assess the association of EPT values and observed EARR (p< 0.05). Results: The highest level of EPT measurement was recorded at initial visit, and then there was a decreasing trend in EPT level during treatment for the next six and twelve months. There was another increasing trend after six months till the finishing time of the treatment. There was a significant correlation between changes in root length and time of recording the root length (p< 0.001). There was significant positive correlation between changes in EPT level and amount of observed root resorption (p< 0.001). Conclusion: The relative decrease in electric pulp test level could be a diagnostic sign of root resorption during orthodontic treatment. Further studies with longer follow up are needed to confirm the current results.

scholarly journals One-year clinical evaluation of IPS Empress CAD versus polished Celtra Duo ceramic Laminate veneers (randomized controlled clinical trial)

2021 ◽  
Vol 24 (3) ◽  
pp. 13p
Author(s):  
Hayat Elbanna ◽  
Mohammed Labib Zamzam ◽  
Jylan Fouad El-Guindy ◽  
Ahmed Soliman Idris
Keyword(s):  
Survival Rate ◽  
Fracture Resistance ◽  
Clinical Performance ◽  
Control Group ◽  
Marginal Adaptation ◽  
Anterior Teeth ◽  
Significant Difference ◽  
One Year ◽  
Laminate Veneers

Objective: To evaluate fracture resistance and survival rate of IPS Empress CAD versus Polished Celtra Duo ceramic laminate veneers. Material and Methods: Thirty-six ceramic laminate veneers were fabricated for maxillary anterior teeth. The patients were divided into two groups according to the material Group 1(control group) fabricated from IPS Empress CAD laminate veneers and group 2(intervention group) fabricated from Polished Celtra Duo laminate veneers. Standardized the same preparation with butt joint design and chamfer finish line located supra gingival were performed for all the teeth. The fabrication of the veneers was performed using Cad\Cam (Ceramill motion) machine, with software (Exocad). The veneers surfaces were treated and silanated according to the manufacture instruction of each ceramic and enamel surfaces were etched where total etch adhesive protocol was obeyed using BISCO. Follow up sessions were done every two months up to one year for each patient using dental probe and operator vision to evaluate the fracture, survival rate, marginal adaptation, sensitivity and caries. according to USPHS criteria (United States Public Health Service). This was performed by an experienced, blinded investigator. Results: Fracture resistance, marginal adaptation, retention, caries and sensitivity were evaluated according to the criteria of USPHS and we found there is no significant difference as both groups scaled zero score. Conclusion: Both IPS Empress Cad and Polished Celtra Duo laminate veneers revealed successful clinical performance in terms of fracture resistance, marginal adaptation, retention, and sensitivity after one year follow up period.   Keywords Ceramic laminate veneers; IPS Empress CAD; Celtra DUO; Clinical performance.

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