Periodontal Approach of A Patient With Periodontitis Before Orthodontic Treatment: Long Term Follow-Up

Year 2021, Volume: 2 Issue: 3, 4 - 11, 26.02.2021

Tuğba Şahin , Sühan Gürbüz , Emine Kaygısız

Abstract

The aim of this case report was to present the comprehensive periodontal treatment and two-years follow-up results of an adult patient with Stage III, Grade C periodontitis who had pathological tooth migration (PTM) with gingival recession before orthodontic treatment. Full mouth plaque and gingival indices, bleeding on probing, probing depth and clinical attachment loss of patient were measured. Vertical bone losses in the central, lateral incisors and molar regions were found. Clinical attachment loss was 5.17 mm. Gingival recessions of #31 and #34 teeth were 4 mm and 5 mm, respectively. #31 tooth had Class II mobility. A combination of amoxicillin and metronidazole (AMOX/MET) was recommended for seven days during full mouth scaling and root planing. Flap operations and free gingival grafts (FGGs) were performed. After the six-week recovery period, non-extraction fixed orthodontic treatment was started. At the end of two years follow-up, gaining of keratinized tissue was detected as 3 mm in both teeth and 3.09 mm of clinical attachment level gain was ensured while orthodontic treatment continued. This case report presents that periodontal treatment provides long-term periodontal stability during fixed
orthodontic treatment.

Keywords

Gingival recession, Orthodontics, Pathological tooth migration

Supporting Institution

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Project Number

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References

• Ainamo, J., & Bay, I. (1975). Problems and proposals for recording gingivitis and plaque. International Dental Journal, 25(4),229-235.
• Albandar, J.M. (2014). Aggressive periodontitis: case definetion and diagnostic criteria. Periodontology 2000, 65(1),13-26.
• Armitage, G.C. (1999). Development of a classification system for periodontal diseases and conditions. Annals of Periodontology,4(1),1-6.
• Årtun, J., & Urbye, K.S. (1988). The effect of orthodontic treatment on periodontal bone support in patients with advanced loss of marginal periodontium. American Journal of Orthodontic and Dentofacial Orthopedics. 93(2),143-148.
• Bergström, J., & Preber, H. (1994). Tobacco use as a risk factor. Journal of Periodontology, 65(5 Suppl), 545- 550.
• Bjørnaas, T., Rygh, P., Bøe, O.E. (1994). Severe overjet and overbite reduced alveolar bone height in 19-year- old men. American Journal Orthodontics and Dentofacial Orthopedics, 106(2),139-145.
• Boyd, R.L. (1978) Mucogingival considerations and their relationship to orthodontics. Journal of Periodontology, 49(2),67-76.
• Brunsvold, M.A. (2005). Pathologic tooth migration. Journal of Periodontology ,76(6), 859-866.
• Cardaropoli, D., & Gaveglio, L. (2007). The influence of orthodontic movement on periodontal tissues level. Seminars in Orthodontics, 13(4),234-245.
• Chou, Y.H., Du, J.K., Chou, S.T., Hu, K. F., Tsai, C. C., Ho, K. Y., & Ho, Y. P. (2013). An interdisciplinary treatment approach combining orthodontic forced eruption with immediate implant placement to achieve a satisfactory treatment outcome: a case report. Clinical Implant Dentistry and Related Research, 15(1),113-120.
• Collins J.G., Offenbacher, S., & Arnold, R.R. (1993). Effects of a combination therapy to eliminate Porphyromonas gingivalis in refractory periodontitis. Journal of Periodontology, 64(10),998-1007.
• Gaumet, P.E., Brunsvold, M.I., & McMahan, C.A. (1999). Spontaneous repositioning of pathologically migrated teeth. Journal of Periodontology, 70(10),1177-1184.
• Gkantidis, N., Christou, P., & Topouzelis, N. (2010). The orthodontic-periodontic interrelationship in integrated treatment challenges: a systematic review. Journal of Oral Rehabilitation, 37(5),377-90.
• Glargia, M., & Lindhe, J. (1997). Tooth mobility and periodontal disease. Journal of Clinical Periodontology, 24(11),785-95.
• Jati, A.S., Furquim, L.Z., & Consolaro, A. (2016). Gingival recession: its causes and types, and the importance of orthodontic treatment. Dental Press Journal of Orthodontics, 21(3),18-29.
• Lang, N.P., & Löe, H. (1972). The relationship between the width of keratinized gingiva and gingival health. Journal of Periodontology, 43(10),623-627.
• Löe, H., & Silness, J. (1963). Periodontal disease in pregnancy I. Prevalence and severity. Acta Odontologica Scandinavica, 21(6),533-551.
• Melsen, B., Agerbaek, N., & Markenstam, G. (1989). Intrusion of incisors in adult patients with marginal bone loss. American Journal Orthodontics and Dentofacial Orthopedics, 96,232–241.
• Nayudu, A., Lam, T., Ho, J., Forghany, A., Vu, T., Ngo, W., Ajdaharian, J., & Wilder-Smith, P. (2016). Plaque removal and gingival health after use of a novel dental gel: a clinical study. Dentistry, 6(10),396.
• Newman, M.G., Takei, H., Klokkevold, P.R., & Carranza, F.A. (2012). Periodontal response to external forces. Carranza's Clinical Periodontology, Elsevier. (151- 159.)
• O'Leary, T. J., Drake, R. B., & Naylor, J. E. (1972). The plaque control record. Journal of Periodontology, 43(1), 38-38.
• Papapanou, P.N., Sanz, M., Buduneli, N., Diet-rich, T., Feres, M., Fine, D.H., Flemmig, T.F., Garcia, R., Giannobile, W.V., Graziani, F., Greenwell, H., Herrera, D., Kao, R.T., Kebschull, M., Kinane, D.F., Kirkwood, K.L., Kocher, T., Kornman, K.S., Kumar, P.S., Loos, B.G., Machtei, E., Meng, H., Mombelli, A., Needleman, I., Offenbacher, S., Seymour, G.J., Teles, R., & Tonetti, M.S. (2018). Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. Journal of Periodontology, 89,173-182. Pihlstrom, B.L., Michalowicz, B.S., & Johnson, N.W. (2005). Periodontal diseases. The Lancet, 366(9499),1809-20.
• Pini, Prato, G., Baccetti, T., Magnani, C., Agudio, G., & Cortellini, P. (2000). Mucogingival interceptive surgery of buccallyerupted premolars in patients scheduled for orthodontic treatment. I. A 7-year longitudinal study. Journal of Periodontology, 71(2),172-181.
• Re, S., Corrente, G., Abundo, R., & Cardaropoli, D. (2000). Orthodontic treatment in periodontally compromised patients: 12-year report. International Journal Periodontics and Restorative Dentistry, 20(2),31-39.
• Sebbar, M., Abidine, Z., Laslami, N., & Bentahar, Z. (2015). Emerging Trends in Oral Health Sciences and Dentistry. Periodontal health and orthodontics, IntechOpen. (s:717-732)
• Shekar, S., Bhagyalakshmi, A., Chandrashekar, B., & Avinash, B. (2017). Periodontal considerations during orthodontic treatment. Indian Journal Oral Health and Research, 3(1),1-8.
• Singh, J., & Deshpande, R.N. (2002). Pathologic migration--spontaneous correction following periodontal therapy: a case report. Quintessence International, 33(1),65-68.
• Teughels, W., Feres, M., Oud, V., Martín, C., Matesanz, P., & Herrera, D. (2020). Adjunctive effect of systemic antimicrobials in periodontitis therapy. A systematic review and meta‐analysis. Journal of Clinical Periodontology, 47, 257-281.
• Tonetti, M.S., Greenwell, H., & Kornman, K.S. (2018). Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. Journal of Periodontology, 89, 159-172.
• Wennström, J.L. (1996) Mucogingival considerations in orthodontic treatment. Seminars in Orthodontics, 2(1),46-54.
• Winkel, E. G., Van Winkelhoff, A. J., Tim-merman, M. F., Van der Velden, U., & Van der Weijden G. A. (2001). Amoxicillin plus metronidazole in the treatment of adult periodontitis patients: a double‐blind placebo‐controlled study. Journal of Clinical Periodontology, 28(4), 296-305.
• Zwetchkenbaum, S., & Taichman, LS. (2008). Clinical Men's Health. Oral Health, Heidelbaugh. (s:243-262),