Abstract:
Aggressive periodontitis mostly affects young people, causing rapid destruction of periodontal tissue and loss of supporting alveolar bone. The destruction of periodontal tissue induces pathological tooth movement, resulting in various types of malocclusion such as crowding or spacing in the dentition. This report describes orthodontic treatment for malocclusion due to generalized aggressive periodontitis. The patient was a 31-year-old woman who presented with the chief complaint of displacement in the anterior teeth. An oral examination revealed pathological tooth mobility throughout the entire oral cavity due to severe loss of periodontal support. Many gaps in the displaced maxillary anterior teeth and crowding in the mandibular anterior teeth were also observed. The goal of subsequent treatment was to achieve ideal overjet and overbite by aligning the teeth and closing the spaces via non-extraction orthodontic treatment with stripping. The periodontal disease was managed by a periodontist who provided guidance on oral hygiene and periodontal disease control throughout the course of orthodontic treatment. Appropriate occlusion and a good oral environment were achieved. The condition of the periodontal tissue stabilized during and after orthodontic treatment, and favourable occlusal stability was observed at the 2-year follow-up examination.
摘要:
侵袭性牙周炎主要影响年轻人,导致牙周组织的快速破坏和牙槽骨支撑的丧失。牙周组织的破坏导致病理性牙齿移动,导致各种类型的错牙合,例如牙列拥挤或间隔。该报告描述了由于广泛性侵袭性牙周炎引起的错牙合畸形的正畸治疗。患者是一名31岁的妇女,主要主诉是前牙移位。口腔检查显示,由于牙周支持的严重丧失,整个口腔中的病理性牙齿活动。还观察到移位的上颌前牙中的许多间隙和下颌前牙中的拥挤。后续治疗的目标是通过对齐牙齿并通过非拔牙正畸治疗和剥离封闭空间来获得理想的过度喷射和过度咬合。牙周病由牙周病专家管理,该专家在整个正畸治疗过程中为口腔卫生和牙周病控制提供指导。实现了适当的闭塞和良好的口腔环境。正畸治疗期间和之后牙周组织的状况稳定,在2年的随访检查中观察到良好的咬合稳定性。