Orthodontic treatment in the severely compromised periodontal patient

• Localización: Journal of orthodontics, ISSN-e 0301-228X, ISSN 1465-3125, Nº. 4-39, 2012, págs. 303-313
• Idioma: inglés
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• Resumen

  • We describe the diagnosis and treatment of a class II division 1 malocclusion complicated by severe periodontal disease, tooth loss, dentoalveolar protrusion associated with tipping and extrusion of the maxillary incisors, and a traumatic occlusion. Treatment involved the use of a modified palatal arch to intrude and retract the maxillary incisors and high-pull headgear to enhance anchorage and correct the Class II relationship. After active treatment for 19 months, a good anterior occlusion was achieved, with 17° of lingual retroclination and 3 mm of intrusion at the apex of the maxillary incisors. An acceptable occlusion and periodontal status was maintained over a retention period of 2 years. With the patient�s cooperation, a successful outcome was achieved with this approach.