A Novel Surgical Approach to Modify the Periodontal Phenotype for the Prevention of Mucogingival Complications Related to Orthodontic Treatment

2021 ◽  
Vol 41 (6) ◽  
pp. 811-817
Author(s):  
Tali Chackartchi ◽  
Ruth Gleis ◽  
Anton Sculean ◽  
Myron Nevins
Keyword(s):  
Surgical Approach ◽  
Orthodontic Treatment ◽  
Periodontal Phenotype

Healing Of A Large Osteolytic Mandibular Lesion – A Case Report

2018 ◽  
Author(s):  
Ingrid Różyło-Kalinowskav ◽  
Karolina Sidor
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Surgical Approach ◽  
Orthodontic Treatment ◽  
Incidental Finding ◽  
Osteolytic Lesion ◽  
Panoramic Radiograph ◽  
Endodontic Treatment ◽  
Osteolytic Lesions

The purpose of this article was to present a case report of 11–year old female patient with a large osteolytic mandibular lesion which healed after endodontic treatment. The patient was referred for radio diagnostics due to an incidental finding of a large osteolytic lesion of the area of the left lower first and second premolars in the panoramic radiograph taken before orthodontic treatment. CBCT was performed and the patient asked to have teeth 33-35 treated by endodontics before surgery. The patient missed the surgical appointment and when she reappeared several months later, the lesion showed signs of healing thus surgery were aborted. The presented case testifies to the observation that even large osteolytic lesions can heal after endodontic treatment without surgical approach.

Orthodontic-Surgical Approach for Treating Skeletal Class III Malocclusion With Severe Maxillary Deficiency in Isolated Cleft Palate

2018 ◽  
Vol 56 (3) ◽  
pp. 400-407 ◽  
Author(s):  
Kohei Nakatsugawa ◽  
Hiroshi Kurosaka ◽  
Kiyomi Mihara ◽  
Susumu Tanaka ◽  
Tomonao Aikawa ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Surgical Approach ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Class Iii ◽  
Maxillary Expansion ◽  
Rapid Palatal Expansion ◽  
Isolated Cleft Palate ◽  
Maxillary Deficiency

Orthodontic treatment in patients with orofacial cleft such as cleft lip and palate or isolated cleft palate is challenging, especially when the patients exhibit severe maxillary growth retardation. To correct this deficiency, maxillary expansion and protraction can be performed in the first phase of orthodontic treatment. However, in some cases, the malocclusion cannot be corrected by these procedures, and thus, skeletal discrepancy remains when the patients are adolescents. These remaining problems occasionally require various orthognathic treatments according to the degree of the discrepancy. Here, we describe one case of a female with isolated cleft palate and hand malformation who exhibited severe maxillary deficiency until her adolescence and was treated with multiple orthognathic surgeries, including surgically assisted maxillary expansion (surgically assisted rapid palatal expansion), LeFort I osteotomy, and bilateral sagittal split osteotomy in order to correct severe skeletal discrepancy and malocclusion. The treatment resulted in balanced facial appearance and mutually protected occlusion with good stability. The purpose of this case report is to show the orthodontic treatment outcome of 1 patient who exhibited isolated cleft palate and subsequent severe skeletal deformities and malocclusion which was treated by an orthodontic-surgical approach.

A Surgical Approach to the Treatment of Permanent Incisor Teeth in Infra-Occlusion: Two Case Reports

1974 ◽  
Vol 1 (5) ◽  
pp. 237-239
Author(s):  
R. K. Rayson ◽  
W. J. B. Houston ◽  
G. L. Howe
Keyword(s):  
Surgical Approach ◽  
Orthodontic Treatment ◽  
Case Reports ◽  
Central Incisor ◽  
Incisor Tooth ◽  
New Approach

Two cases of infra-occlusion of a permanent upper central incisor tooth are described. Both cases were successfully treated by dento-alveolar surgery. This new approach offers a solution to cases of the type described where conventional orthodontic treatment cannot succeed.

scholarly journals Prioritization of predisposing factors of gingival hyperplasia during orthodontic treatment: the role of amount of biofilm.

2021 ◽  
Author(s):  
Séverine VINCENT-BUGNAS ◽  
Leslie BORSA ◽  
Apolline GRUSS ◽  
Laurence LUPI
Keyword(s):  
Orthodontic Treatment ◽  
Predisposing Factors ◽  
Qualitative Assessment ◽  
P Value ◽  
Gingival Hyperplasia ◽  
Duration Of Treatment ◽  
Cross Sectional ◽  
Gingival Enlargement ◽  
Periodontal Phenotype

Abstract Background: The mechanism of gingival growth that may occur during fixed orthodontic treatment is not yet fully understood and the amount of dental plaque is often incriminated. The objective of this study was to evaluate the prevalence of gingival growth during multi-attachment orthodontic treatment and to prioritize its predicting factors, especially the quantity of biofilm. Methods: This comprehensive cross-sectional descriptive study was conducted on orthodontic patients aged 9 to 30 years, in good health, treated by a fixed appliance. Periodontal clinical parameters such as plaque index, gingival index, probing pocket depth, periodontal phenotype and gingival enhancement index were recorded. Likewise, the brushing habits and the date of the last scaling were noted. The orthodontic parameters studied were the duration of the treatment, the type of bracket, the alloys used for the arches and the type of ligatures. Descriptive statistics were carried out, and variables presenting p value < 0.25 were included in a multivariate analysis to calculate the Odds Ratio (OR) of gingival enlargement".Results: A total of 193 patients were included (16.38 ± 4.89 years). Gingival growth occurred for 49.7% of patients included. The predisposing factors for this pathology during fixed orthodontic treatment were conventional metal brackets (p = 0.021), mouth breathing (p = 0.040), male gender (p = 0.035), thick periodontal phenotype (p = 0.043), elastomeric ligations (p = 0.007), duration of treatment (p = 0.022) and presence of plaque (p = 0.004). After achievement of the logistic regression, only two factors remained related to gingival enlargement: metallic brackets (OR:3.5, 95% CI:1.1- 10.55) and duration of treatment (OR:2.03, 95% CI:1.01-4.08). The amount of plaque would not be directly related to the development of gingival increase during orthodontic treatment. Conclusions: Among the predisposing factors that underlie gingival growth during multi-attachment therapy, the amount of plaque is not found. The qualitative assessment of the plaque and its evolution during treatment could clarify the role of the biofilm in the occurrence of gingival overgrowth.Trial registration: Cross-sectional study.

scholarly journals Surgical approach and orthodontic treatment of mandibular condylar osteochondroma

2020 ◽  
Vol 50 (3) ◽  
pp. 206-215
Author(s):  
So Jin Yang ◽  
Nam Hyung Chung ◽  
Jong Ghee Kim ◽  
Young-Mi Jeon
Keyword(s):  
Surgical Approach ◽  
Orthodontic Treatment

scholarly journals Combined Orthodontic and Surgical Approach in the Correction of a Class III Skeletal Malocclusion with Mandibular Prognathism and Vertical Maxillary Excess Using Bimaxillary Osteotomy

2013 ◽  
Vol 2013 ◽  
pp. 1-12
Author(s):  
George Jose Cherackal ◽  
Eapen Thomas ◽  
Akhilesh Prathap
Keyword(s):  
Case Report ◽  
Surgical Approach ◽  
Orthodontic Treatment ◽  
Current Treatment ◽  
Class Iii ◽  
Mandibular Prognathism ◽  
Skeletal Malocclusion ◽  
Growth Modification ◽  
Treatment Surgery

For patients whose orthodontic problems are so severe that neither growth modification nor camouflage offers a solution, surgery to realign the jaws or reposition dentoalveolar segments is the only possible treatment. Surgery is not a substitute for orthodontics in these patients. Instead, it must be properly coordinated with orthodontics and other dental treatments to achieve good overall results. Dramatic progress in recent years has made it possible for combined surgical orthodontic treatment to be carried out successfully for patients with a severe dentofacial problem of any type. This case report provides an overview of the current treatment methodology in managing a combination of asymmetrical mandibular prognathism and vertical maxillary excess.

scholarly journals Differential Diagnosis of Skeletal Class III

2019 ◽  
Vol 23 (2) ◽  
pp. 55-62
Author(s):  
Olga-Elpis Kolokitha ◽  
Thomas Georgiadis
Keyword(s):  
Differential Diagnosis ◽  
Clinical Examination ◽  
Surgical Approach ◽  
Orthodontic Treatment ◽  
Cephalometric Analysis ◽  
Class Iii ◽  
Basic Principles ◽  
Skeletal Class ◽  
Maxillary Deficiency ◽  
Craniofacial Complex

Summary Skeletal Class III is a relatively rare malocclusion of the craniofacial complex and the accurate differential diagnosis of its aetiology is necessary so that it may be correctly treated. Differential diagnosis of Class III aetiopathogenesis should distinguish between: a) true skeletal Class III as opposed to pseudo Class III; b) three forms of Skeletal Class III, in which there is either maxillary deficiency only or mandibular excess only or combination of both; and c) skeletal Class III that may be treated with orthodontic treatment alone, as opposed to Class III that is difficult to manage with orthodontic treatment alone and requires combine orthodontic and surgical approach. Differential diagnosis is mainly based on clinical examination and cephalometric analysis. The aim of this paper is to present the basic principles and modes of achieving differential diagnosis in skeletal Class III cases.

scholarly journals Prioritization of risk factors of gingival hyperplasia during orthodontic treatment: the role of biofilm.

2020 ◽  
Author(s):  
Séverine VINCENT-BUGNAS ◽  
Leslie BORSA ◽  
Apolline GRUSS ◽  
Laurence LUPI
Keyword(s):  
Associated Factors ◽  
Orthodontic Treatment ◽  
Qualitative Assessment ◽  
P Value ◽  
Gingival Hyperplasia ◽  
Pocket Depth ◽  
Cross Sectional ◽  
Gingival Enlargement ◽  
Periodontal Phenotype

Abstract Background The mechanism of gingival growth that may occur during fixed orthodontic treatment is not yet fully understood and the amount of dental plaque is often incriminated. The objective of this study was to evaluate the prevalence of gingival growth during multi-attachment orthodontic treatment and to prioritize its associated factors. Methods: This comprehensive cross-sectional descriptive study was conducted on orthodontic patients aged 9 to 30 years, in good general health, treated by a fixed appliance. Periodontal clinical parameters such as plaque index, gingival index, probing pocket depth, periodontal phenotype and gingival enhancement index were recorded. Likewise, the brushing habits and the date of the last scaling were noted. The orthodontic parameters studied were the duration of the treatment, the type of attachment, the alloys used for the arches and the type of ligatures. Descriptive statistics were carried out, and variables presenting p value < 0.05 were included in a multivariate analysis to calculate the Odds Ratio (OR) of gingival enlargement". Results: A total of 193 patients were included (16.38 ± 4.89 years). Gingival growth occurred for 49.7% of patients included. The associated factors for this pathology during fixed orthodontic treatment were conventional metal brackets (OR = 3.5), mouth breathing (OR = 3), male gender (OR = 2.2), thick periodontal phenotype (OR = 2) and elastomeric ligations (OR = 2). After achievement of the logistic regression, the amount of plaque would not be directly related to the development of this gingival increase. Conclusions Among the associated factors that underlie gingival growth during multi-attachment therapy, the amount of plaque is not found. The qualitative assessment of the plaque and its evolution during treatment could clarify the role of the biofilm in the occurrence of gingival overgrowth.

scholarly journals Prioritization of predisposing factors of gingival hyperplasia during orthodontic treatment: the role of amount of biofilm

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Séverine Vincent-Bugnas ◽  
Leslie Borsa ◽  
Apolline Gruss ◽  
Laurence Lupi
Keyword(s):  
Orthodontic Treatment ◽  
Predisposing Factors ◽  
Qualitative Assessment ◽  
Gingival Hyperplasia ◽  
Duration Of Treatment ◽  
Pocket Depth ◽  
Cross Sectional ◽  
Gingival Enlargement ◽  
Periodontal Phenotype

Abstract Background The mechanism of gingival growth that may occur during fixed orthodontic treatment is not yet fully understood and the amount of dental plaque is often incriminated. The objective of this study was to evaluate the prevalence of gingival growth during multi-attachment orthodontic treatment and to prioritize its predicting factors, especially the quantity of biofilm. Methods This comprehensive cross-sectional descriptive study was conducted on orthodontic patients aged 9 to 30 years, in good health, treated by a fixed appliance. Periodontal clinical parameters such as plaque index, gingival index, probing pocket depth, periodontal phenotype and gingival enhancement index were recorded. Likewise, the brushing habits and the date of the last scaling were noted. The orthodontic parameters studied were the duration of the treatment, the type of bracket, the alloys used for the arches and the type of ligatures. Descriptive statistics were carried out, and variables presenting p value < 0.25 were included in a multivariate analysis to calculate the Odds Ratio (OR) of gingival enlargement”. Results A total of 193 patients were included (16.38 ± 4.89 years). Gingival growth occurred for 49.7% of patients included. The predisposing factors for this pathology during fixed orthodontic treatment were conventional metal brackets (p = 0.021), mouth breathing (p = 0.040), male gender (p = 0.035), thick periodontal phenotype (p = 0.043), elastomeric ligations (p = 0.007), duration of treatment (p = 0.022) and presence of plaque (p = 0.004). After achievement of the logistic regression, only two factors remained related to gingival enlargement: metallic brackets (OR: 3.5, 95% CI: 1.1–10.55) and duration of treatment (OR: 2.03, 95% CI: 1.01–4.08). The amount of plaque would not be directly related to the development of gingival increase during orthodontic treatment. Conclusions Among the predisposing factors that underlie gingival growth during multi-attachment therapy, the amount of plaque is not found. The qualitative assessment of the plaque and its evolution during treatment could clarify the role of the biofilm in the occurrence of gingival overgrowth.

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