Kasaj Adrian, Wehrbein Heiner, Gortan-Kasaj Aristea, Reichert Christoph, Willershausen Brita
Department of Operative Dentistry and Periodontology, Johannes-Gutenberg University, Mainz, Germany.
Cases J. 2009 Jul 20;2:8568. doi: 10.4076/1757-1626-2-8568.
Today many adult patients with periodontal disease demonstrate positioning of teeth that comprise their ability for proper mechanical tooth cleaning of approximal tooth surfaces. With adequate combined periodontal-orthodontic treatment it is possible to re-establish a healthy and well-functioning dentition. However, while orthodontic treatment can realign periodontally affected teeth, esthetic appearance may be compromised by gingival recession due to alveolar bone dehiscences or fenestrations in combination with a thin gingival biotype. This article reports an interdisciplinary (periodontic, orthodontic, restorative) approach for the treatment of a periodontally compromised patient with anterior dental malalignment. Periodontal therapy, including periodontal plastic surgery to obtain root coverage as well as orthodontic treatment by means of a miniscrew implant anchorage were used to achieve stable periodontal conditions and successful esthetic and functional final results.
如今，许多患有牙周病的成年患者牙齿位置不佳，这影响了他们对邻面进行适当机械性牙齿清洁的能力。通过充分的牙周正畸联合治疗，有可能重建健康且功能良好的牙列。然而，虽然正畸治疗可以使受牙周影响的牙齿重新排列，但由于牙槽骨缺损或开窗以及牙龈生物型较薄，牙龈退缩可能会影响美观。本文报告了一种跨学科（牙周、正畸、修复）方法，用于治疗一名患有前牙排列不齐的牙周受损患者。采用了包括牙周整形手术以实现牙根覆盖的牙周治疗以及借助微型螺钉种植体支抗的正畸治疗，以实现稳定的牙周状况以及成功的美观和功能最终效果。
