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Journals / Gülhane Tıp Dergisi / 2003 / Cilt: 45 - Sayı: 1

Reconstruction of periodontal destruction due to orthodontic treatment with guided tissue regeneration and demineralized bone graft:Case report

Ortodontik tedavi sonucu oluşan periodontal yıkımın yönlendirilmiş doku rejenerasyonu ve demiralize kemik tozu ile onarımı: Vaka raporu

Ahmet Eralp AKÇA
Mustafa Levent PİKDÖKEN
Pages
74–78
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Deep periodontal probing pocket depths are reduced to 2 mm, and the mobility is totally eliminated.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Tooth mobility, gingival recession and deep periodontal defects are not usually the result of the orthodontic tooth movement, but excessive forces may sometimes cause unacceptable results inthe therapy.
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Key Findings & Data:The presented case is 17 years old female with Class II Division I malocclusion.
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Conclusion & Impact:Deep periodontal probing pocket depths are reduced to 2 mm, and the mobility is totally eliminated.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Yönlendirilmiş doku yenilenmesi · Periodontal hastalıklar · Köpek dişleri

Abstract

Tooth mobility, gingival recession and deep periodontal defects are not usually the result of the orthodontic tooth movement, but excessive forces may sometimes cause unacceptable results inthe therapy. The purpose of this case report is to present the treatment procedure for a mobile canine tooth with deep periodontal defect due to excessive orthodontic force. The presented case is 17 years old female with Class II Division I malocclusion. Department of orthodontics was planned to distalize patient's upper canine with a new developed individual tooth-borne distractor. However, this rapid distalization caused mobility and increase in the periodontal probing pocket depth measurements of upper left canine. In this case, the orthodontic treatment was ceased and patient's deep periodontal defect around the upper canine tooth was first filled with demineralized freeze dried bone and covered with a collagen barrier membrane. The patient was observed for one year. Deep periodontal probing pocket depths are reduced to 2 mm, and the mobility is totally eliminated.

Özet

Diş mobilitesi, dişeti çekilmesi ve derin periodontal defektler genellikle ortodontik diş hareketlerinin bir sonucu değildir, fakat aşırı kuvvetler bazen tedavide beklenilmeyen sonuçlara neden olmaktadır. Bu vaka raporunun amacı aşırı ortodontik kuvvet sonucu kanin dişte oluşmuş mobilite ve derin periodontal defektin tedavi şeklini sunmaktır. Bu vaka raporundaki hasta 17 yaşında Sınıf II Divizyon l maloklüzyona sahipti. Hastanın üst kanin dişinin yeni geliştirilmiş kişisel bir tooth-borne distractor ile distalize edilmesi planlamıştı. Bununla beraber, bu hızlı distalizasyon bu dişte ikinci derece mobilite ve periodontal cep derinliğinde vestibül yüzeyde 8mm ye varan artışa neden olmuştur. Bu vakada, hastanın ortodontik tedavisi kesilmiş, defekt bölgesi demineralize kemik tozuyla doldurulduktan sonra kollajen bir bariyer membran ile örtülmüştür. Hasta 1yıl boyunca takip edilmiş ve 6 ay sonunda derin periodontal ceplerin 2 mm ye gerilediği ve mobilitenin tamamen ortadan kalktığı gözlenmiştir.

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Cite This Article

AKÇA, A. E., PİKDÖKEN, M. L. (2003). Reconstruction of periodontal destruction due to orthodontic treatment with guided tissue regeneration and demineralized bone graft:Case report. Gülhane Tıp Dergisi, Cilt: 45 - Sayı: 1, 74–78. https://ajindex.com/articles/225764

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