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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:
Fall 2010
Volume 11 , Issue 3

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Combined Periodontal And Orthodontic Treatment In A Patient With Aggressive Periodontitis: A 9-Year Follow-Up Report

Luciane Quadrado Closs, DDS, MsD, PhD/Sabrina Carvalho Gomes, MSc/Rui Vicente Oppermann, PhD/Vivian Bertoglio

Pages: 291297
PMID: 20877741

A combined periodontal and orthodontic treatment demands a detailed evaluation in both specialties, particularly when the periodontium is reduced. This is especially true for adult patients, but young patients can also suffer from advanced periodontitis. This article describes combined periodontal and orthodontic therapy in a young patient with severe localized and aggressive periodontitis, tooth crown abnormalities, and missing maxillary second premolars. Periodontal treatment was carried out. Once attachment gain and bone stability were confirmed, orthodontic therapy commenced. It lasted 32 months, during which segmented mechanics and only light forces were used. The result of this intervention was satisfactory, and long-term stability (9 years) with periodontal maintenance was achieved. World J Orthod 2010;11:291297.

Key words: interdisciplinary treatment, periodontitis, attachment loss, segmented mechanics, light forces

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