Periodontally accelerated osteogenic orthodontics with platelet-rich fibrin in an adult patient with periodontal disease:A case report and review of literature  

作　　者：Min Xu Xiao-Yu Sun Jian-Guang Xu 

机构地区：[1]Stomatological Hospital and College,Anhui Medical University,Hefei 230032,Anhui Province,China [2]Department of Orthodontics,Anhui Medical University,Hefei 230032,Anhui Province,China

出　　处：《World Journal of Clinical Cases》2021年第6期1367-1378,共12页世界临床病例杂志

基　　金：Supported by Natured Science Foundation of Anhui Province,No.1908085MH255.

摘　　要：BACKGROUND In the clinical scenario,adult patients with periodontal diseases and dental malformation,characterized by dental crowding in lower anterior teeth with the thin biotype,often require orthodontic treatment.This case report aimed to evaluate the clinical and radiographic outcomes of periodontally accelerated osteogenic orthodontics(PAOO)combined with autologous platelet-rich fibrin(PRF)in an adult patient with class I malocclusion along with dental crowding,a thin periodontal biotype,and buccal plate deficiency.CASE SUMMARY A 32-year-old female complaining of dental crowding and gingival bleeding was referred to the orthodontic clinic.The patient underwent periodontal risk assessment prior to orthodontic treatment.She was diagnosed with a high risk of gingival recession due to dental crowding,root prominence,loss of buccal plates,and a thin gingival tissue biotype.The treatment regimen included PAOO combined with autologous PRF for alveolar augmentation and interproximal enamel reduction for moderate dental crowding.Clinically,PAOO-assisted orthodontic tooth movement in this case showed enhanced periodontium remodeling.Radiographic outcomes also showed statistically significant improvements(P<0.01)in the mandibular buccal alveolar bone.CONCLUSION This case report suggests the combination of autologous PRF with PAOO to enhance bone augmentation and long-term tissue support in adult orthodontic patients with periodontal disease.

关 键 词：Periodontally accelerated osteogenic orthodontics Orthodontic tooth movement Platelet-rich fibrin Bone augmentation Periodontal biotype Case report 

分 类 号：R781.4[医药卫生—口腔医学]