An interdisciplinary treatment to manage pathologic tooth migration: A clinical report
Section snippets
Clinical Report
A 48-year-old woman presented to the Department of Periodontics, Samsung Medical Center (SMC) Dental Clinic, Seoul, South Korea with spacing between the maxillary central and lateral incisors. The patient also had type 2 diabetes mellitus as a systemic contributory factor.23 Previously, the patient had visited the dental clinic due to severe gingival swelling and bleeding around the maxillary central and lateral incisors while hospitalized with diabetic shock at SMC. The mandibular incisors
Discussion
The use of orthodontic intrusion in periodontally compromised patients remains controversial since there is no histologic evidence in humans that orthodontic intrusion produces new attachment. While extrusion is recommended to improve periodontal conditions,28 it is not the best option as PTM involves the extrusion of teeth which already have long clinical crowns. Therefore, orthodontic retraction and intrusion was planned for this patient. The gingival recession was decreased at the end of
Summary
This clinical procedure with a short-term follow-up demonstrated that orthodontic treatment of periodontally compromised teeth could improve their clinical attachment levels by reducing gingival recession. The etiology causing PTM must be determined before initiating treatment. The appropriate treatment sequence should be used to manage periodontal disease, occlusion, and tooth movement. After completing orthodontic movement, semi-definitive or definitive retention should be considered to
Acknowledgments
The author thanks Dr Kwan-Woo Lee for all his restorative work and Dr Radi M. Masri for his critical reading. The author reports no conflicts of interest related to this case report.
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