Abstract
Abstract This case report presents orthodontic camouflage treatment and the correction of transposed canine-first premolar teeth in a patient who presented with a skeletal Class III and familial periodontal problem. A 28-year-old female patient who was diagnosed with generalised aggressive periodontitis was treated by scaling and root planing plus the adjunctive use of systemic antibiotics and surgical therapy prior to referral to the orthodontic department. After the progression of the disease was controlled, orthodontic treatment was commenced to correct the dental transposition by using a modified Nance-TPA appliance and sectional arch mechanics. A non-extraction orthodontic camouflage treatment was planned to eliminate the anterior crossbite and to establish a proper occlusion by closing the multiple diastemata. Treatment outcomes remained stable in the 2-year follow-up period. Severe orthodontic-periodontal problems can be successfully treated by oral hygiene motivation, an interdisciplinary approach, and the selection of appropriate biomechanics.
Highlights
A prime objective of orthodontic treatment is the maintenance and preservation of periodontal health
Orthodontic treatment can be a challenge in patients who present with severe periodontal disease and so a multidisciplinary treatment plan is invariably required
Stable periodontal health and a high level of oral hygiene are essential for successful orthodontic treatment.[7]
Summary
A prime objective of orthodontic treatment is the maintenance and preservation of periodontal health. The condition mostly affects healthy young people and shows a familial predisposition indicating a genetic influence.[3,4] The generalized form of aggressive periodontitis (GAgP) is most often diagnosed under the age of 30 It is characterised by severe destruction of the periodontal supporting tissues of at least three permanent teeth as well as the incisors and first molars and may lead to the loss of teeth in early life.[3,5] The present case report describes the successful mutual outcomes of orthodontic and periodontal treatments that remained stable during the 2-year follow-up period in a patient who had generalised horizontal bone loss, a skeletal Class III relationship, an anterior crossbite, flaring of the lower incisors, multiple diastemata caused by a traumatic occlusion, and transposition of the upper right canine and first premolar
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