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Reconstruction of a collapsed dental arch in a patient with severe periodontitis.

Identifieur interne : 002268 ( Main/Exploration ); précédent : 002267; suivant : 002269

Reconstruction of a collapsed dental arch in a patient with severe periodontitis.

Auteurs : Yoshiki Nakamura [Japon] ; Kazuhiro Gomi ; Takashi Oikawa ; Hajime Tokiwa ; Toshiko Sekiya

Source :

RBID : pubmed:23631972

Descripteurs français

English descriptors

Abstract

This case report describes the significance of orthodontic treatment in reconstruction of a collapsed dental arch and a malocclusion associated with severe periodontitis. A Japanese man (age, 40 years 7 months) had an anterior crossbite, a collapsed occlusion, and severe periodontitis. Orthodontic treatment included the following steps: (1) correction of the anterior crossbite, labial movement of the maxillary incisors, and intrusion and retraction of the mandibular incisors; (2) correction of the posterior crossbite on the left side, buccal movement of the maxillary left canine and first premolars, and intrusion and retraction of the mandibular first premolar into the space of the mandibular left canine; (3) correction of the crowding of the mandibular right buccal segment and alignment of the teeth after extraction of the mandibular right first molar with a periapical lesion; and (4) improvement of the occlusion, with reconstruction of an acceptable occlusion. When combined with restorative and prosthodontic treatment, a fairly good occlusion was obtained. Reevaluation of the treatment after 11 years showed that the occlusion and periodontal condition were maintained well without deepening of the pockets and further bone loss. Orthodontic treatment with a systematic approach helped to recover the occlusion and prevented the recurrence of periodontitis by acquiring a good oral environment and motivating the patient to maintain oral health.

DOI: 10.1016/j.ajodo.2012.04.025
PubMed: 23631972


Affiliations:


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Le document en format XML

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<name sortKey="Oikawa, Takashi" sort="Oikawa, Takashi" uniqKey="Oikawa T" first="Takashi" last="Oikawa">Takashi Oikawa</name>
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<name sortKey="Tokiwa, Hajime" sort="Tokiwa, Hajime" uniqKey="Tokiwa H" first="Hajime" last="Tokiwa">Hajime Tokiwa</name>
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<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Malocclusion (complications)</term>
<term>Malocclusion (therapy)</term>
<term>Malocclusion, Angle Class III (complications)</term>
<term>Malocclusion, Angle Class III (therapy)</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Middle Aged</term>
<term>Orthodontics, Corrective (methods)</term>
<term>Periodontics (methods)</term>
<term>Periodontitis (complications)</term>
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<term>Association thérapeutique</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Malocclusion de classe III ()</term>
<term>Malocclusion dentaire ()</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Orthodontie correctrice ()</term>
<term>Parodontie ()</term>
<term>Parodontite ()</term>
<term>Perte dentaire (étiologie)</term>
<term>Prosthodontie ()</term>
<term>Résultat thérapeutique</term>
<term>Études de suivi</term>
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<div type="abstract" xml:lang="en">This case report describes the significance of orthodontic treatment in reconstruction of a collapsed dental arch and a malocclusion associated with severe periodontitis. A Japanese man (age, 40 years 7 months) had an anterior crossbite, a collapsed occlusion, and severe periodontitis. Orthodontic treatment included the following steps: (1) correction of the anterior crossbite, labial movement of the maxillary incisors, and intrusion and retraction of the mandibular incisors; (2) correction of the posterior crossbite on the left side, buccal movement of the maxillary left canine and first premolars, and intrusion and retraction of the mandibular first premolar into the space of the mandibular left canine; (3) correction of the crowding of the mandibular right buccal segment and alignment of the teeth after extraction of the mandibular right first molar with a periapical lesion; and (4) improvement of the occlusion, with reconstruction of an acceptable occlusion. When combined with restorative and prosthodontic treatment, a fairly good occlusion was obtained. Reevaluation of the treatment after 11 years showed that the occlusion and periodontal condition were maintained well without deepening of the pockets and further bone loss. Orthodontic treatment with a systematic approach helped to recover the occlusion and prevented the recurrence of periodontitis by acquiring a good oral environment and motivating the patient to maintain oral health.</div>
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