Accelerated orthodontic treatment in a patient with reduced periodontal tissue. Case report

Resumo

Orthodontic treatment in a patient that suffered periodontitis and as a result has a reduced periodontium often requires a combination of several surgical techniques as well as interdisciplinary treatments aimed at achieving optimum results. Objective: To present a treatment with accelerated orthodontics in a patient with severe malocclusion, periodontitis and reduced periodontium to achieve orthodontic treatment success in lesser time and with minimum alteration of periodontal tissues. Methodology: 41 year old female patient, dolichofacial, with a skeletal class II malocclusion, molar class II, canine class II, spacing, convex profi le, incompetent lips, gummy smile, and advanced periodontal loss. Initial orthodonticperiodontal treatment was followed by corticotomy. Periodontal treatment consisted in root planning and scaling as well as oral hygiene instructions. 0.018-slot Roth prescription fi xed appliances were placed in both arches without extractions. Results: At the end of treatment esthetic, occlusal and functional results were achieved. Conclusions: Periodontally compromised patients can be successfully treated by correcting malocclusion when an interdisciplinary approach is used.

Key words: Accelerated orthodontics, reduced periodontal tissue.