Reconstruction of a collapsed dental arch in a patient with severe periodontitis.
Identifieur interne : 000C82 ( PubMed/Corpus ); précédent : 000C81; suivant : 000C83Reconstruction of a collapsed dental arch in a patient with severe periodontitis.
Auteurs : Yoshiki Nakamura ; Kazuhiro Gomi ; Takashi Oikawa ; Hajime Tokiwa ; Toshiko SekiyaSource :
- American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics [ 1097-6752 ] ; 2013.
English descriptors
- KwdEn :
- Adult, Combined Modality Therapy, Dental Arch (pathology), Follow-Up Studies, Humans, Jaw, Edentulous, Partially (rehabilitation), Male, Malocclusion (complications), Malocclusion (therapy), Malocclusion, Angle Class III (complications), Malocclusion, Angle Class III (therapy), Mandible, Maxilla, Middle Aged, Orthodontics, Corrective (methods), Periodontics (methods), Periodontitis (complications), Periodontitis (therapy), Prosthodontics (methods), Severity of Illness Index, Tooth Loss (etiology), Treatment Outcome.
- MESH :
- complications : Malocclusion, Malocclusion, Angle Class III, Periodontitis.
- etiology : Tooth Loss.
- methods : Orthodontics, Corrective, Periodontics, Prosthodontics.
- pathology : Dental Arch.
- rehabilitation : Jaw, Edentulous, Partially.
- therapy : Malocclusion, Malocclusion, Angle Class III, Periodontitis.
- Adult, Combined Modality Therapy, Follow-Up Studies, Humans, Male, Mandible, Maxilla, Middle Aged, Severity of Illness Index, Treatment Outcome.
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
Links to Exploration step
pubmed:23631972Le document en format XML
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<author><name sortKey="Gomi, Kazuhiro" sort="Gomi, Kazuhiro" uniqKey="Gomi K" first="Kazuhiro" last="Gomi">Kazuhiro Gomi</name>
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<author><name sortKey="Oikawa, Takashi" sort="Oikawa, Takashi" uniqKey="Oikawa T" first="Takashi" last="Oikawa">Takashi Oikawa</name>
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<author><name sortKey="Tokiwa, Hajime" sort="Tokiwa, Hajime" uniqKey="Tokiwa H" first="Hajime" last="Tokiwa">Hajime Tokiwa</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
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<term>Humans</term>
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<term>Malocclusion (complications)</term>
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<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>Severity of Illness Index</term>
<term>Tooth Loss (etiology)</term>
<term>Treatment Outcome</term>
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<front><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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<Abstract><AbstractText>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.</AbstractText>
<CopyrightInformation>Copyright © 2013 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.</CopyrightInformation>
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