Orthodontic Treatment in Patients with Stable Reduced Periodontium

Main Article Content

Cintia Zoraya Natharen-Aquino
Fabiola Hernández-Girón

Abstract

Introduction: Orthodontic treatment is no longer a contraindication in adult patients with reduced periodontium; it can even improve the chances of saving and restoring a damaged dentition. Objective: To present a clinical case of orthodontic treatment in a patient with stable reduced periodontium. Case presentation: Patient with stable reduced periodontium who attended the dental clinic of the Universidad Latinoamericana, Valle Campus, to receive periodontal and orthodontic treatment. Scaling and root planing were performed, as well as plaque control in the Department of Periodontics. Once discharged, she was referred to the Orthodontic Department to improve the position of her teeth and her periodontal health. Premolar extractions were performed and fixed appliances were placed. Alignment and leveling of the case, closing of spaces, and finishing and detailing of the occlusion were performed. Conclusion: Orthodontic treatment in patients with stable reduced periodontium is limited and complex and must be evaluated by a multidisciplinary team to achieve defined objectives for realistic results.

Article Details

How to Cite
Natharen-Aquino, C. Z., & Hernández-Girón, F. (2025). Orthodontic Treatment in Patients with Stable Reduced Periodontium. Revista Odontológica Mexicana, 28(4). https://doi.org/10.22201/fo.1870199xp.2024.28.4.91378

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Author Biographies

Cintia Zoraya Natharen-Aquino, Universidad Latinoamericana

Egresada del posgrado de Ortodoncia, campus Valle

Fabiola Hernández-Girón, Universidad Nacional Autónoma de México

Académica del Departamento de Ortodoncia, División de Estudios de Posgrado e Investigación, Facultad de Odontología

References

Caton JG, Armitage G, Berglundh T, Chapple ILC, Jepsen S, Kornman KS, et al. A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018; 45(S20): S1-S8. DOI: 10.1111/jcpe.12935

Quiroz Morales DL, Gurrola Martínez B, Casasa Araujo A. Tratamiento de ortodoncia en paciente adulto – Caso clínico. Revista Latinoamericana de Ortodoncia y Odontopediatría. 2014. https://www.ortodoncia.ws/publicaciones/2014/art-25

Ledergerber WRC. Problemas periodontales más frecuentes relacionados al tratamiento ortodóntico en pacientes de la clínica de posgrado de la Universidad Católica de Santiago de Guayaquil. Oral. 2013; 14(45): 1003-1006. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=48153

Artun J, Urbye KS. The effect of orthodontic treatment on periodontal bone support in patients with advanced loss of marginal periodontium. Am J Orthod Dentofacial Orthop. 1988; 93(2): 143-148. DOI: 10.1016/0889-5406(88)90292-2

Ericsson I, Tehlander B, Lindhe J, Okamoto H. The effect of orthodontic tilting movements on the periodontal tissues of infected and non-infected dentitions in dogs. J Clin Periodontol. 1977; 4(4): 278-293. DOI: 10.1111/j.1600-051x.1977.tb01900.x

Holmberg F, Sandoval P, Holmberg F. Movimientos ortodónticos en paciente con soporte periodontal disminuido. Int. J. Odontostomat. 2008; 2(1): 21-26. https://ijodontostomatology.com/es/articulo/movimientos-ortodonticos-en-paciente-con-soporte-periodontal-disminuido

Alsulaimani L, Alqarni H, Akel M, Khalifa F. The orthodontics-periodontics challenges in integrated treatment: A comprehensive review. Cureus. 2023; 15(5): e38994. DOI: 10.7759/cureus.38994

Santoyo Rivas P, Tavira Fernández S. Tratamiento de ortodoncia acelerada en paciente con tejidos periodontales reducidos. Caso clínico. Rev Mex Ortod. 2015; 3(2): 120-127. DOI: 10.1016/j.rmo.2016.03.035

Carvalho CV, Saraiva L, Bauer FPF, Kimura RY, Souto MLS, Bernardo CC, et al. Orthodontic treatment in patients with aggressive periodontitis. Am J Orthod Dentofacial Orthop. 2018; 153(4): 550-557. DOI: 10.1016/j.ajodo.2017.08.018

Boyer S, Fontanel F, Danan M, Olivier M, Bouter D, Brion M. Severe periodontitis and orthodontics: Evaluation of long-term results. Int Orthod. 2011; 9(3): 259-273. DOI: 10.1016/j.ortho.2011.06.004

Shaughnessy TG, Proffit WR, Samara SA. Inadvertent tooth movement with fixed lingual retainers. Am J Orthod Dentofacial Orthop. 2016; 149(2): 277-286. DOI: 10.1016/j.ajodo.2015.10.015

Pazera P, Fudalej P, Katsaros C. Severe complication of bonded mandibular lingual retainer. Am J Orthod Dentofacial Orthop. 2012; 142(3): 406-409. DOI: 10.1016/j.ajodo.2012.01.019

Torkan S, Oshagh M, Khojastepour L, Shahidi S, Heidari S. Clinical and radiographic comparison of the effects of two types of fixed retainers on periodontium - A randomized clinical trial. Prog Orthod. 2014; 15: 47. DOI: 10.1186/s40510-014-0047-8

Kaji A, Sekino S, Ito H, Numabe Y. Influence of a mandibular fixed orthodontic retainer on periodontal health. Aust Orthod J. 2013; 29(1): 76-85. PMID: 23785941

Farret MM, Farret MMB, Vieira GL, Assaf JH, de Lima EM. Orthodontic treatment of a mandibular incisor fenestration resulting from a broken retainer. Am J Orthod Dentofacial Orthop. 2015; 148(2): 332-337. DOI: 10.1016/j.ajodo.2015.04.027

Booth FA, Edelman JM, Proffit WR. Twenty-year follow-up of patients with permanently bonded mandibular canine-to-canine retainers. Am J Orthod Dentofacial Orthop. 2008; 133(1): 70-76. DOI: 10.1016/j.ajodo.2006.10.023