Periodontal-orthodontic interdisciplinary management of a“periodontally hopeless”maxillary central incisor with severe mobility:A case report and review of literature  

作　　者：Ke Jiang Li-Shan Jiang Hou-Xuan Li Lang Lei 

机构地区：[1]Department of Orthodontics,Nanjing Stomatological Hospital,Medical School of Nanjing University,Nanjing 210008,Jiangsu Province,China [2]Department of Periodontics,Nanjing Stomatological Hospital,Medical School of Nanjing University,Nanjing 210008,Jiangsu Province,China

出　　处：《World Journal of Clinical Cases》2022年第14期4550-4562,共13页世界临床病例杂志

摘　　要：BACKGROUND Treating periodontally hopeless teeth with advanced bone resorption and severe tooth mobility is a great challenge for both orthodontists and periodontists.Biofilm-induced periodontal inflammation and occlusal trauma-related inflammation may synergistically aggravate tooth mobility.This case report illustrates that even periodontally hopeless teeth can be saved and have long-term stability with comprehensive periodontal treatment to control periodontal inflammation and promote periodontal bone regeneration and intricate orthodontic mechanical control to correct cross bite and occlusal trauma.CASE SUMMARY A 27-year-old female patient whose chief complaint was severe tooth mobility and discomfort of the maxillary incisor was diagnosed with severe aggressive periodontitis by clinical and radiographic examinations.To reduce tooth mobility and establish stable occlusion,we combined orthodontic treatment with periodontal therapy to preserve the tooth.Orthodontic treatment was performed after basic periodontal therapy and periodontal surgery.The loosened upper right central incisor was successfully retained,and the periodontal tissue remained stable during follow-up.CONCLUSION Teeth with severe mobility and bone loss can be saved through interdisciplinary treatment when periodontal inflammation is strictly controlled.

关 键 词：Occlusal trauma Periodontally hopeless teeth PERIODONTITIS ORTHODONTICS Guided tissue regeneration Interdisciplinary management Case report 

分 类 号：R783.5[医药卫生—口腔医学]