Multidisciplinary management of an adult skeletal Class III patient with generalized aggressive periodontitis and canine-premolar transposition

IF 0.5 4区医学 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Australasian Orthodontic Journal Pub Date : 2021-07-01 DOI:10.21307/AOJ-2021-022

Sinem İnce-Bingöl, Mediha Nur Nişancı-Yılmaz, B. Kaya

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引用次数: 0

Abstract

Abstract This case report presents orthodontic camouflage treatment and the correction of transposed canine-first premolar teeth in a patient who presented with a skeletal Class III and familial periodontal problem. A 28-year-old female patient who was diagnosed with generalised aggressive periodontitis was treated by scaling and root planing plus the adjunctive use of systemic antibiotics and surgical therapy prior to referral to the orthodontic department. After the progression of the disease was controlled, orthodontic treatment was commenced to correct the dental transposition by using a modified Nance-TPA appliance and sectional arch mechanics. A non-extraction orthodontic camouflage treatment was planned to eliminate the anterior crossbite and to establish a proper occlusion by closing the multiple diastemata. Treatment outcomes remained stable in the 2-year follow-up period. Severe orthodontic-periodontal problems can be successfully treated by oral hygiene motivation, an interdisciplinary approach, and the selection of appropriate biomechanics.

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一名患有广泛性侵袭性牙周炎和犬前磨牙移位的成人骨骼III级患者的多学科治疗

摘要本病例报告介绍正畸伪装治疗和矫治转位犬第一前磨牙的病人谁提出了骨骼III类和家族牙周问题。一位28岁的女性患者被诊断为广泛性侵袭性牙周炎，在转诊到正畸科之前，通过刮治和牙根刨平加上辅助使用全身抗生素和手术治疗。病情进展得到控制后，采用改良的Nance-TPA矫治器和断面弓力学进行正畸治疗，矫正牙转位。计划采用非拔牙正畸伪装治疗，消除前牙合，并通过关闭多间隙建立适当的咬合。治疗结果在2年随访期间保持稳定。通过口腔卫生动机、跨学科方法和选择适当的生物力学，可以成功治疗严重的正畸-牙周问题。

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来源期刊

Australasian Orthodontic Journal Dentistry-Orthodontics

CiteScore

0.80

自引率

25.00%

发文量

期刊介绍： The Australasian Orthodontic Journal (AOJ) is the official scientific publication of the Australian Society of Orthodontists. Previously titled the Australian Orthodontic Journal, the name of the publication was changed in 2017 to provide the region with additional representation because of a substantial increase in the number of submitted overseas'' manuscripts. The volume and issue numbers continue in sequence and only the ISSN numbers have been updated. The AOJ publishes original research papers, clinical reports, book reviews, abstracts from other journals, and other material which is of interest to orthodontists and is in the interest of their continuing education. It is published twice a year in November and May. The AOJ is indexed and abstracted by Science Citation Index Expanded (SciSearch) and Journal Citation Reports/Science Edition.