Orthodontic Treatment of a Periodontally - Affected Adult Patient (Case Report)
| Autor: | Emilija Stefanovska, Stevica Ristoska, Vasilka Rendzova, Biljana Evrosimovska, Biljana Dzipunova, Vera Radojkova-Nikolovska |
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| Rok vydání: | 2019 |
| Předmět: |
Periodontal treatment
medicine.medical_treatment lcsh:Medicine Dentistry Root resorption 030209 endocrinology & metabolism Orto-perio treatment Oral hygiene 03 medical and health sciences Gingivitis Adult orthodontics 0302 clinical medicine Periodontal disease Periodontal health Medicine 030212 general & internal medicine Reduction (orthopedic surgery) Dental alveolus Orthodontic appliances business.industry lcsh:R Dental Science - Case Report General Medicine Periodontology stomatognathic diseases Clinical attachment loss medicine.symptom business |
| Zdroj: | Open Access Macedonian Journal of Medical Sciences Open Access Macedonian Journal of Medical Sciences, Vol 7, Iss 14 (2019) Open Access Macedonian Journal of Medical Sciences; Vol 7 No 14 (2019): Jul 30 (OAMJMS); 2343-2349 |
| ISSN: | 1857-9655 2343-2349 |
| Popis: | BACKGROUND: The advanced periodontal disease is characterised by a strongly pronounced loss of attachment and reduction of the alveolar bone support, which leads to luxation, migration of the teeth, functional discomfort and poor facial aesthetics. CASE PRESENTATION: The aim of this paper is to present the case of a 26-year-old female patient, registered at the Clinic of Periodontology with highly expressed gingivitis, unsatisfactory periodontal status, presence of diastemas between the frontal teeth and attachment loss of 5-6 millimetres in different areas. We conducted a thorough classic periodontal treatment, as well as training for proper maintenance of oral hygiene, with frequent professional oral-prophylactic sessions, complemented with orthodontic treatment. Fixed orthodontic appliances were installed, and mild forces were applied for gradual levelling of the teeth, with constant control of the periodontal status. After 20 months of treatment, the patient was in retention. CONCLUSION: Orthodontic therapy of periodontally-affected teeth can begin only after exhaustive administration of a periodontal treatment. Orthodontic treatment as an addition to the periodontal restoration must be gradual with mild forces for an optimal dental response, thus helping to improve function, facial aesthetics and psychological confidence of adult patients. |
| Databáze: | OpenAIRE |
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