Director IMAEDA DENTAL CLINIC Aichi-ken Ichinomiya-city, Japan
[Background and objective]: we report a case of severe chronic periodontitis within a dentition demonstrating secondary occlusal trauma, which was improved by periodontal and orthodontic treatment. [Case] : 51-year-old woman housewife First visit: January 9, 2015 Chief complaint: “The upper front teeth are mobile from several months ago. I feel swelling with blood coming out of my gums when brushing my teeth.” Opinion: More than PPD 4mm 71.4%,BOP75.0%,#11 Degree of mobility 2, #16、26 Degree of furcation lesion 3, ＃45 missing teeth, A stenotic dental arch with marked lingual tilt of the upper and lower molars is observed. [Clinical Procedures and Outcomes ]: At the first visit, there was a concern of treatment cost, and corrective orthodontic treatment was not desired. The treatment plan involved periodontal treatment only. As the basic periodontal therapy progressed, the patient's awareness changed, and a modified treatment plan involving orthodontic treatment was incorporated. This time by utilizing orthodontic treatment, the continuity of the dentition could be maintained and function was favorable by keeping tooth extraction to a minimum. The patient was satisfied with this outcome.
[Conclusion]: Orthodontic treatment as a pretreatment for prosthetic treatment leads to preservation of enamel, pulp and teeth, and ultimately has the potential to be minimally invasive when re-intervention is considered in future. Orthodontic treatment is not suitable for all patients, but we believe that it will continue to be an effective method for preserving many teeth. The dentition of the patient remained stable, even after the conclusion of treatment due to the patient’s improved health awareness during initial periodontal treatment. We would like to continue reviewing the patient’s long term prognoses in the future.
