Periodontal and Orthodontic Synergy in the Management of Stage IV Periodontitis: Challenges, Indications and Limits
This retrospective study described the clinical and radiographic long-term outcomes of combined periodontal and orthodontic treatment (OT) with fixed appliances in patients with Stage IV periodontitis and pathologic tooth migration (PTM) in the anterior sextants. OT was performed in either one or bo...
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MDPI AG
2022-12-01
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| Series: | Life |
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| Online Access: | https://www.mdpi.com/2075-1729/12/12/2131 |
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| author | Daniela Garbo Mario Aimetti Loretta Bongiovanni Cristina Vidotto Giulia Maria Mariani Giacomo Baima Federica Romano |
| author_facet | Daniela Garbo Mario Aimetti Loretta Bongiovanni Cristina Vidotto Giulia Maria Mariani Giacomo Baima Federica Romano |
| author_sort | Daniela Garbo |
| collection | DOAJ |
| description | This retrospective study described the clinical and radiographic long-term outcomes of combined periodontal and orthodontic treatment (OT) with fixed appliances in patients with Stage IV periodontitis and pathologic tooth migration (PTM) in the anterior sextants. OT was performed in either one or both arches, using tooth-supported or skeletal anchorage, following completion of active periodontal treatment and accurate planning of tooth movement biomechanics. Twenty-nine patients were identified and retrospectively examined when presenting for a supportive periodontal care (SPC) appointment. The mean SPC duration was 8.9 years (range 5 to 12 years). All anterior-migrated teeth showed statistically significant periodontal improvement compared to baseline values and stable radiographic bone levels at the final follow-up. Residual probing depths were 2.9 ± 0.5 mm at the end of active periodontal treatment, and they remained stable at the completion of OT (2.9 ± 0.6 mm) and at the last follow-up visit (2.8 ± 0.5 mm). These findings suggest that OT is a safe and effective treatment in improving the long-term prognosis of teeth with PTM in Stage IV periodontitis provided that periodontal health has been re-established and maintained with individualized SPC sessions. |
| first_indexed | 2024-03-09T16:10:59Z |
| format | Article |
| id | doaj.art-696cbc4dfde1440cbb4577eb6dadc83e |
| institution | Directory Open Access Journal |
| issn | 2075-1729 |
| language | English |
| last_indexed | 2024-03-09T16:10:59Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj.art-696cbc4dfde1440cbb4577eb6dadc83e2023-11-24T16:14:05ZengMDPI AGLife2075-17292022-12-011212213110.3390/life12122131Periodontal and Orthodontic Synergy in the Management of Stage IV Periodontitis: Challenges, Indications and LimitsDaniela Garbo0Mario Aimetti1Loretta Bongiovanni2Cristina Vidotto3Giulia Maria Mariani4Giacomo Baima5Federica Romano6Private Practice, 10100 Turin, ItalyC.I.R. Dental School, Department of Surgical Sciences, University of Turin, 10126 Turin, ItalyC.I.R. Dental School, Department of Surgical Sciences, University of Turin, 10126 Turin, ItalyC.I.R. Dental School, Department of Surgical Sciences, University of Turin, 10126 Turin, ItalyC.I.R. Dental School, Department of Surgical Sciences, University of Turin, 10126 Turin, ItalyC.I.R. Dental School, Department of Surgical Sciences, University of Turin, 10126 Turin, ItalyC.I.R. Dental School, Department of Surgical Sciences, University of Turin, 10126 Turin, ItalyThis retrospective study described the clinical and radiographic long-term outcomes of combined periodontal and orthodontic treatment (OT) with fixed appliances in patients with Stage IV periodontitis and pathologic tooth migration (PTM) in the anterior sextants. OT was performed in either one or both arches, using tooth-supported or skeletal anchorage, following completion of active periodontal treatment and accurate planning of tooth movement biomechanics. Twenty-nine patients were identified and retrospectively examined when presenting for a supportive periodontal care (SPC) appointment. The mean SPC duration was 8.9 years (range 5 to 12 years). All anterior-migrated teeth showed statistically significant periodontal improvement compared to baseline values and stable radiographic bone levels at the final follow-up. Residual probing depths were 2.9 ± 0.5 mm at the end of active periodontal treatment, and they remained stable at the completion of OT (2.9 ± 0.6 mm) and at the last follow-up visit (2.8 ± 0.5 mm). These findings suggest that OT is a safe and effective treatment in improving the long-term prognosis of teeth with PTM in Stage IV periodontitis provided that periodontal health has been re-established and maintained with individualized SPC sessions.https://www.mdpi.com/2075-1729/12/12/2131malocclusionorthodonticspathologic tooth migrationperiodontitisperiodontal treatment |
| spellingShingle | Daniela Garbo Mario Aimetti Loretta Bongiovanni Cristina Vidotto Giulia Maria Mariani Giacomo Baima Federica Romano Periodontal and Orthodontic Synergy in the Management of Stage IV Periodontitis: Challenges, Indications and Limits Life malocclusion orthodontics pathologic tooth migration periodontitis periodontal treatment |
| title | Periodontal and Orthodontic Synergy in the Management of Stage IV Periodontitis: Challenges, Indications and Limits |
| title_full | Periodontal and Orthodontic Synergy in the Management of Stage IV Periodontitis: Challenges, Indications and Limits |
| title_fullStr | Periodontal and Orthodontic Synergy in the Management of Stage IV Periodontitis: Challenges, Indications and Limits |
| title_full_unstemmed | Periodontal and Orthodontic Synergy in the Management of Stage IV Periodontitis: Challenges, Indications and Limits |
| title_short | Periodontal and Orthodontic Synergy in the Management of Stage IV Periodontitis: Challenges, Indications and Limits |
| title_sort | periodontal and orthodontic synergy in the management of stage iv periodontitis challenges indications and limits |
| topic | malocclusion orthodontics pathologic tooth migration periodontitis periodontal treatment |
| url | https://www.mdpi.com/2075-1729/12/12/2131 |
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