Abstract
Abstract Objectives This review provides a comprehensive assessment of the benefits of adjunctive orthodontic treatment with or without periodontal regenerative surgery in the treatment of angular bony defects, defect volume, and periodontal tissue conditions in adult patients. Methods An electronic keyword search was conducted in the literature database PubMed as well as in Google Scholar. Originally, studies describing all types of orthodontic tooth movement (tipping, bodily movement, intrusion, extrusion) in relation to bone defects such as periodontal, furcation and extraction site defects were reviewed. Only those articles depicting tooth movement after periodontal therapy and the control of inflammation were included. Results Evidence indicates that orthodontic tooth movement can result in the reduction or elimination of periodontal bony defect dimensions, a reduction in probing pocket depth and a gain in clinical attachment level. Furthermore, the published data show that orthodontic tooth movement before or after regenerative surgery can provide therapeutic benefits in the recovery of angular bony defects. Conclusions This review supports the premise that adjunctive orthodontic treatment in adults with reduced but healthy periodontal tissues is a solution for the modification of bony defect contours with or without periodontal regenerative therapy.
Highlights
Worldwide studies have shown that the prevalence of gingival inflammation in adults is high (50 to 90%), with 30% of the population advancing to periodontal disease.[1,2] The most visible clinical sign of advanced periodontitis is pathological tooth migration as a result of the destruction of tooth supporting structures
The aim of this paper is to present a comprehensive literature review to highlight the benefits of adjunctive orthodontic treatment alone or in combination with periodontal regenerative therapy, and to provide evidence that an interdisciplinary approach offers alternative options in the management of angular bony defects, as a result of periodontal, furcation and extraction events
From the search, 48 articles were included in the present study (Figure 1) and were divided into two major topics: orthodontic tooth movement (OTM) in relation to angular bony defects treated with non-regenerative periodontal therapy (Table I) and OTM in relation to angular bony defects treated with regenerative surgery (Table II)
Summary
Worldwide studies have shown that the prevalence of gingival inflammation in adults is high (50 to 90%), with 30% of the population advancing to periodontal disease.[1,2] The most visible clinical sign of advanced periodontitis is pathological tooth migration as a result of the destruction of tooth supporting structures. This presents a major aesthetic and functional concern for patients. The aim of this paper is to present a comprehensive literature review to highlight the benefits of adjunctive orthodontic treatment alone or in combination with periodontal regenerative therapy, and to provide evidence that an interdisciplinary approach offers alternative options in the management of angular bony defects, as a result of periodontal, furcation and extraction events
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