Orthodontic treatment of an adult patient with aggressive periodontitis – A case report

Authors

  • Mohd Zambri Mohamed Makhbul Orthodontic Unit, Klinik Pergigian Cahaya Suria (Sementara), Level 1, Bangunan UTC Pudu Sentral, Jalan Pudu, 50100 Kuala Lumpur, Malaysia
  • Izrawatie Mardiana Shapeen Periodontic Unit, Klinik Pergigian Cahaya Suria (Sementara), Level 1, Bangunan UTC Pudu Sentral, Jalan Pudu, 50100 Kuala Lumpur, Malaysia.
  • Wan Nurazreena Wan Hassan Department of Paediatric Dentistry and Orthodontics & Clinical Craniofacial Dentistry Research Group, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia.

DOI:

https://doi.org/10.31436/ijohs.v1i2.30

Keywords:

Aggressive periodontitis, Bone level, Orthodontist and Periodontist, Occlusal trauma, Traumatic bite

Abstract

A 26-year-old man with an aggressive periodontitis sought for orthodontic treatment to improve the appearance of his smile. He presented with generalised anterior spacing, missing lower
left central incisor and deep traumatic bite. He was treated successfully with a combination of orthodontic and periodontal treatment. After 18 months of orthodontic treatment and follow up
by the periodontist, his alignment of teeth was improved, a stable occlusion was achieved, and occlusal trauma was prevented. As a result, the patient’s smile appearance and selfconfidence were improved. Orthodontic tooth movement is not only to correct the alignment of his teeth but also to improve the bone level especially at the anterior region. This case report shows the successful treatment outcome in aggressive periodontitis patient which requires good collaboration between the orthodontist and the periodontist.

References

Aimetti, M., Romano, F., Guzzi, N., & Carnevale, G. (2012). Full?mouth disinfection and systemic antimicrobial therapy in generalized aggressive periodontitis: a randomized, placebo?controlled trial. Journal of Clinical Periodontology, 39(3), 284-294.

Albandar, J. M. (2014). Aggressive periodontitis: case definition and diagnostic criteria. Periodontology 2000, 65, 13–26.

Albandar, J. M., Brown, L. J., & Loe, H. (1997). Clinical features of early-onset periodontitis. The Journal of the American Dental Association, 128(10), 1393-1399.

Alexander, S. A. (1996). Levels of root resorption associated with continuous arch and sectional arch mechanics. American Journal of Orthodontics and Dentofacial Orthopedics, 110(3), 321-324.

Armitage, G. C. (1999). Development of a classification system for periodontal diseases and conditions. Annals of Periodontology, 4(1), 1-6.

Armitage, G. C. (2000). Development of a classification system for periodontal diseases and conditions. Northwest Dentistry, 79(6), 31-35.

Azouni, K. G., & Tarakji, B. (2014). The trimeric model: a new model of periodontal treatment planning. Journal of Clinical and Diagnostic Research, 8(7), ZE17-20.

Bagga, D. K. (2010). Adult orthodontics versus adolescent orthodontics: an overview. Journal of Oral Health and Community Dentistry 4(2), 42-47.

Bouziane, A., Hamdoun, R., Abouqal, R., & Ennibi, O. (2020). Global prevalence of aggressive periodontitis: A systematic review and meta-analysis. Journal of Clinical Periodontology, 47(4), 406-428.

Brunsvold, M. A. (2005). Pathologic tooth migration. Journal of Periodontology, 76(6), 859-866.

Feng, X., Oba, T., Oba, Y., & Moriyama, K. (2005). An interdisciplinary approach for improved functional and esthetic results in a periodontally compromised adult patient. The Angle Orthodontist, 75(6), 1061-1070.

FH, A. (2018). Orthodontic treatment of an adolescent patient with localized aggressive periodontitis.Journal of International Oral Health,10, 47?57.

Fine, D. H., Patil, A. G., & Loos, B. G. (2018). Classification and diagnosis of aggressive periodontitis. Journal of Periodontology, 89 Suppl 1, S103-S119.

Garat, J. A., Gordillo, M. E., & Ubios, A. M. (2005). Bone response to different strength orthodontic forces in animals with periodontitis. Journal of Periodontal Research, 40(6), 441-445.

Guerrero, A., Griffiths, G. S., Nibali, L., Suvan, J., Moles, D. R., Laurell, L., & Tonetti, M. S. (2005). Adjunctive benefits of systemic amoxicillin and metronidazole in non-surgical treatment of generalized aggressive periodontitis: a randomized placebo-controlled clinical trial. Journal of Clinical Periodontology, 32(10), 1096-1107.

Gyawali, R., & Bhattarai, B. (2017). Orthodontic management in aggressive periodontitis. International Scholarly Research Notices, 2017, 8098154.

Harpenau, L. A., & Boyd, R. L. (2000). Long-term follow-up of successful orthodontic-periodontal treatment of localized aggressive periodontitis: a case report. Clinical Orthodontics and Research, 3(4), 220-229.

Hazan-Molina, H., Levin, L., Einy, S., & Aizenbud, D. (2013). Aggressive periodontitis diagnosed during or before orthodontic treatment. Acta Odontologica Scandinavica, 71(5), 1023-1031.

Hormand, J., & Frandsen, A. (1979). Juvenile periodontitis. Localization of bone loss in relation to age, sex, and teeth. Journal of Clinical Periodontology, 6(6), 407-416. Kim, S.-J., Kim, J.-W., Choi, T.-H., & Lee, K.-J. (2014). Combined use of miniscrews and continuous arch for intrusive root movement of incisors in Class II division 2 with gummy smile. The Angle Orthodontist, 84, 910–918.

Krishnan, V. (2017). Root resorption with orthodontic mechanics: pertinent areas revisited. Australian Dental Journal, 62 Suppl 1, 71-77.

Lang, N., Bartold, P. M., Cullinan, M., Jeffcoat, M., Mombelli, A., Murakami, S. et al. (1999). Consensus report: aggressive periodontitis. Annals of Periodontology, 4(1), 53.

Levin, L., Einy, S., Zigdon, H., Aizenbud, D., & Machtei, E. E. (2012). Guidelines for periodontal care and follow-up during orthodontic treatment in adolescents and young adults. Journal of Applied Oral Science, 20(4), 399-403.

Levin, L., Samorodnitzky-Naveh, G. R., & Machtei, E. E. (2008). The association of orthodontic treatment and fixed retainers with gingival health. Journal of Periodontology, 79(11), 2087-2092.

Martinez-Canut, P., Carrasquer, A., Magan, R., & Lorca, A. (1997). A study on factors associated with pathologic tooth migration. Journal of Clinical Periodontology, 24(7), 492-497.

Meng, H., Xu, L., Li, Q., Han, J., & Zhao, Y. (2007). Determinants of host susceptibility in aggressive periodontitis. Periodontol 2000, 43, 133-159.

Mestnik, M. J., Feres, M., Figueiredo, L. C., Duarte, P. M., Lira, E. A. G., & Faveri, M. (2010). Short?term benefits of the adjunctive use of metronidazole plus amoxicillin in the microbial profile and in the clinical parameters of subjects with generalized aggressive periodontitis. Journal of Clinical Periodontology, 37(4), 353-365.

Mestnik, M. J., Feres, M., Figueiredo, L. C., Soares, G., Teles, R. P., Fermiano, D., et al. (2012). The effects of adjunctive metronidazole plusamoxicillin in the treatment of generalized aggressive periodontitis: a 1-year double-blinded, placebo-controlled, randomized clinical trial. Journal of Clinical Periodontology, 39(10), 955-961.

Nanda, R. (2012). Esthetics and Biomechanics in Orthodontics?E?Book: St. Louis : Elsevier Health Sciences.

Nanda, R. S., & Tosun, Y. S. (2010). Biomechanics In Orthodontics, Principles And Practice: Quintessence Publishing Co Inc.

Panwar, M., Jayan, B., Mandlik, V. B., & Jha, A. K. (2010). Combined Periodontal and Orthodontic Treatment of Pathologic Migration of Anterior Teeth. Medical Journal Armed Forces India, 66(1), 67-69.

Rabie, A. B., Deng, Y. M., & Jin, L. J. (1998). Adjunctive orthodontic treatment of periodontally involved teeth: case reports. Quintessence International, 29(1), 13-19.

Susin, C., Haas, A. N., & Albandar, J. M. (2014). Epidemiology and demographics of aggressive periodontitis. Periodontol 2000, 65(1), 27-45.

Tonetti, M. S., & Mombelli, A. (1999). Early-onset periodontitis. Annals of Periodontology, 4(1), 39-53.

Towfighi, P. P., Brunsvold, M. A., Storey, A. T., Arnold, R. M., Willman, D. E., & McMahan, C. A. (1997). Pathologic migration of anterior teeth in patients with moderate to severe periodontitis. Journal of Periodontology, 68(10), 967-972.

Vinod, K., Reddy, Y. G., Reddy, V. P., Nandan, H., & Sharma, M. (2012). Orthodontic-periodontics interdisciplinary approach. Journal of Indian Society of Periodontology, 16(1), 11-15.

Xie, Y., Zhao, Q., Tan, Z., & Yang, S. (2014). Orthodontic treatment in a periodontal patient with pathologic migration of anterior teeth. American Journal of Orthodontics and Dentofacial Orthopedics, 145(5), 685-693.

Yee, L. F., Subramaniam, U., Raman, R., & Loo, C. S. (2016). Prevalence of Aggressive Periodontitisin Newly Referred Patients in a Periodontal Specialist Government Clinic. Malaysian Dental Journal, 39(1), 1-25.

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Published

2020-11-23

How to Cite

Mohamed Makhbul, M. Z., Shapeen, I. M., & Wan Hassan, W. N. (2020). Orthodontic treatment of an adult patient with aggressive periodontitis – A case report. IIUM Journal of Orofacial and Health Sciences, 1(2), 91–105. https://doi.org/10.31436/ijohs.v1i2.30