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Órgano Oficial de Difusión de la Facultad de Odontología de la UNAM

2015, Number 2

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Rev Mex Ortodon 2015; 3 (2)

Accelerated orthodontic treatment in a patient with reduced periodontal tissue. Case report

Santoyo RP,Tavira FS

Language: Spanish
References: 11
Page: 120-127
PDF size: 625.80 Kb.


ABSTRACT

Orthodontic treatment in a patient that suffered periodontitis and as a result has a reduced periodontium often requires a combination of several surgical techniques as well as interdisciplinary treatments aimed at achieving optimum results. Objective: To present a treatment with accelerated orthodontics in a patient with severe malocclusion, periodontitis and reduced periodontium to achieve orthodontic treatment success in lesser time and with minimum alteration of periodontal tissues. Methodology: 41 year old female patient, dolichofacial, with a skeletal class II malocclusion, molar class II, canine class II, spacing, convex profile, incompetent lips, gummy smile, and advanced periodontal loss. Initial orthodontic-periodontal treatment was followed by corticotomy. Periodontal treatment consisted in root planning and scaling as well as oral hygiene instructions. 0.018-slot Roth prescription fixed appliances were placed in both arches without extractions. Results: At the end of treatment esthetic, occlusal and functional results were achieved. Conclusions: Periodontally compromised patients can be successfully treated by correcting malocclusion when an interdisciplinary approach is used.


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