1/5. An interdisciplinary approach for improved functional and esthetic results in a periodontally compromised adult patient.In contemporary dental care, an increasing number of adult patients are seeking orthodontic treatment. In such adult patients, a combined orthodontic and other specialized therapy often offers the best option for achieving a predictable outcome to solve complex clinical problems. This case report demonstrates a combined therapy with orthodontic, periodontic, and implant-prosthodontic treatments in a 56-year six-month-old female patient with mild diastemata in the maxillary anterior region and a missing left maxillary second premolar caused by a periodontal disease with medium bone loss. The patient had improved her oral hygiene condition through periodontal treatment before orthodontic treatment. The patient was orthodontically treated with a maxillary lingual arch and a maxillary edgewise orthodontic appliance. Active orthodontic treatment was completed in 18 months, and an implant-supported prosthesis was placed with a single crown in the region of the left maxillary second premolar. The treatment outcomes, including the periodontal condition and the dental implant treatment, were stable at two years after the active orthodontic treatment. We demonstrate that combined orthodontic-periodontic-implant-prosthodontic treatment can achieve an improved masticatory function, esthetics, occlusion, and periodontal condition.- - - - - - - - - - ranking = 1keywords = periodontal disease (Clic here for more details about this article) |
2/5. Combined periodontal, orthodontic, and restorative treatment of pathologic migration of anterior teeth: a case report.Pathologic tooth migration related to periodontal disease is a common chief complaint of periodontal patients. This paper describes the treatment of a case of severe periodontal disease and disfiguring pathologic migration of maxillary central incisors, which required a multidisciplinary approach. After conventional periodontal treatment was performed, the anterior diastema was closed using a combination of orthodontic therapy and restorative treatment. A 6-month follow-up examination of this case revealed resolution of the anterior pathologic migration, with gains in clinical attachment levels and a successful esthetic and functional final result.- - - - - - - - - - ranking = 2keywords = periodontal disease (Clic here for more details about this article) |
3/5. The role of orthodontics as an adjunct to periodontal therapy.In the formulation of a treatment plan for patients with advanced periodontal disease, the benefits that orhtodontics can supply must be considered. By improving the position of malposed teeth, a better environment is created for the health of the gingivae and attachment apparatus, as well as the possibility to improve osseous defects as the result of orthodontically stimulated osteogenic activity. The ultimate goal of treatment must be, in addition to control of inflammation, plaque and trauma, the creation of optimal morphologic and functional conditions which will allow these objectives to be attained. This will provide the prosthodontist and periodontist with a better chance to prolong the life of the dention.- - - - - - - - - - ranking = 1keywords = periodontal disease (Clic here for more details about this article) |
4/5. Implications of congenitally missing teeth: orthodontic and restorative procedures in the adult patient.Missing teeth are a concern to the patient and restorative dentist, and this social liability can be a multifactorial problem that involves esthetics, phonetics, disease, function, and stabilization. dental caries, trauma, and periodontal disease are usually identified by pain, food impaction, discomfort, and lack of esthetics or poor phonetics. Restorative dentists are concerned with all aspects of the general health and appearance of the stomatognathic system and not only have the responsibility for immediate correction of an extant problem, but also for ensuring long-term "outcomes." The perceptive integration of interspecialty orthodontic treatment before restorative dentistry can obviate deleterious circumstances that threaten successful completion of the treatment plan. The prerestorative repositioning of malposed adjacent teeth in spaces created by congenitally missing teeth is illustrated with clinical treatment of three patients.- - - - - - - - - - ranking = 1keywords = periodontal disease (Clic here for more details about this article) |
5/5. Multiple-diastema porcelain laminate veneers: a case study.There is some controversy about whether or not tooth preparation is needed before placing porcelain laminate veneers. Without adequate preparation, the added surface contour may increase the risk of periodontal disease. When properly executed, veneers for cosmetic dentistry should be reversible. Many teeth that could have been saved with the use of a conservative laminate veneer are destroyed by full crown reduction. The case presented in this article illustrates the preparation of six maxillary anteriors with with pronounced spaces between them for laminate veneer placement.- - - - - - - - - - ranking = 1keywords = periodontal disease (Clic here for more details about this article) |