Zetu Irina, Ogodescu Emilia, Zetu L, Stratul S I, Rusu D, Talpoş S, Ogodescu A
Disciplina de Ortodonţie, Facultatea de Medicină Dentară, Universitatea de Medicină şi Farmacie "Gr.T.Popa" Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2011 Oct-Dec;115(4):1262-6.
Between orthodontics and periodontology there are many correlations, especially in the treatment of adults with already-damaged periodontal tissues and malocclusions. Aim of this paper was to emphasize that an interdisciplinary periodontal-orthodontic treatment could be beneficial even in a case that seemed hopelessly. A typical case of an adult patient with extensive bone loss due to periodontal disease, occlusal trauma caused by dental malpositions, spacing due to early loss of teeth in the lateral segments and pathologic tooth migration will be presented. The orthodontic treatment was initiated at 3 months after the stabilization of the periodontal therapy and was done with a fixed appliance. During the orthodontic stage periodontal maintenance visits continued at 2-month intervals. The therapy of"black triangles" occurred due to the loss of interdental gingiva was done by stripping followed by a space-closure procedure. A permanent retainer was applied. Benefits and problems of the comprehensive periodontal-orthodontic therapy and treatment protocols will be presented. In conclusion the interdisciplinary therapy of this patient, with a good compliance, was beneficial, improved esthetics, the periodontal status, the ability of the patient to clean the teeth and also led to best position of the abutments for optimal placement of prosthetic reconstructions.
正畸学与牙周病学之间存在许多关联，尤其是在治疗牙周组织已受损且有咬合不正的成年人时。本文的目的是强调，即使在看似毫无希望的情况下，牙周-正畸联合治疗也可能有益。将介绍一个典型的成年患者案例，该患者因牙周病导致广泛的骨质流失、牙齿错位引起的咬合创伤、侧方牙段早期失牙导致的牙间隙以及病理性牙齿移位。正畸治疗在牙周治疗稳定3个月后开始，采用固定矫治器进行。在正畸阶段，牙周维护复诊每2个月进行一次。对于因牙间牙龈丧失导致的“黑三角”，通过牙龈切除术随后进行间隙关闭程序进行治疗。应用了永久性保持器。将介绍综合牙周-正畸治疗的益处和问题以及治疗方案。总之，该患者的多学科治疗，在患者良好配合的情况下，是有益的，改善了美观、牙周状况、患者清洁牙齿的能力，还使基牙处于最佳位置，有利于进行最佳的修复重建。
