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Quintessence Publishing: Journals: ORTHODONTICS
ORTHODONTICS
The Art and Practice of Dentofacial Enhancement

Formerly World Journal of Orthodontics

Edited by
Rafi Romano, DMD, MSc (Editor-in-Chief)

ISSN 2160-2999 (print) / ISSN 2160-3006 (online)

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Publication:
Winter 2004
Volume 5 , Issue 4

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Managing the Orthodontic Treatment of Patients with Advanced Periodontal Disease: The Lingual Appliance

Silvia Geron, DMD, MSc


PMID: 15633379

Aim: Treatment of adult patients with advanced periodontal disease is a challenge to the orthodontist using lingual appliance therapy, which is the preferred technique for many adult patients due to its relative invisibility. The lingual technique has been shown to be capable of correcting severe malocclusions, deep bite as well as open bite cases. However, the treatment mechanics are different from the labial technique and require different considerations. Methods: The potential problems during lingual orthodontic treatment of patients with advanced periodontal disease are discussed, including esthetics during and after orthodontic treatment, efficacy of treatment, adaptation of biomechanics, etc. Three cases are presented to demonstrate the problems and solutions. Conclusion: Successful treatment of patients with advanced periodontal disease using the lingual appliance requires specific considerations and a biomechanical approach. World J Orthod 2004;5: 324331.

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