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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

September 2007
Volume 38 , Issue 8

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Interdisciplinary approach and orthodontic options for treatment of advanced periodontal disease and malocclusion: A case report

Sachiko Maeda, DDS, PhD / Yoshinobu Maeda, DDS, PhD / Yoshihiro Ono, DDS / Kimio Nakamura, DDS, PhD / Tokuo Matsui, DDS

Pages: 653662
PMID: 17823683

Patients with a compromised periodontal condition and a breakdown in occlusal support may require periodontal and prosthodontic treatment in conjunction with orthodontic treatment. Orthodontic treatment of these patients is possible and would involve removal of inflammation and occlusal interference and provision of an environment for proper restorative rehabilitation. A different approach to the orthodontic treatment of these patients is required in terms of treatment manner, stabilizing anchorage systems, force systems, retention, and plaque control during treatment. This report describes the case of a 49-year-old woman with severely compromised periodontal tissues, multiple missing teeth, and malocclusion. Highly esthetic and functional results were achieved by treatment with orthodontics as well as periodontal therapy, including guided tissue regeneration and implant restoration with sinus lift. (Quintessence Int 2007; 38:653662)

Key words: advanced periodontal disease, implant restoration, interdisciplinary treatment, orthodontic treatment, pathologic tooth migration, periodontal treatment, prosthodontic rehabilitation, regenerative therapy

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