Angle Orthod. 2024 Nov 1;94(6):678-686. doi: 10.2319/122923-866.1.
Orthodontic treatment in patients with periodontally compromised dentition often presents challenges, necessitating special considerations. This case report describes treatment of a 52-year-old female patient with advanced chronic periodontitis and pathologic tooth migration through an interdisciplinary orthodontic-periodontal approach. By integrating comprehensive periodontal treatment with strategic use of miniscrew-assisted rapid palatal expansion (MARPE) and careful consideration of the applied force systems, both functional and esthetic concerns were addressed without causing adverse periodontal side effects. This highlights the importance of thoughtful treatment planning and integration of periodontal care during orthodontic tooth movement in treating individuals with reduced periodontal health for successful and esthetically pleasing results.
牙周状况不佳的患者的正畸治疗常常具有挑战性，需要特殊考虑。本病例报告描述了一位 52 岁女性患者的治疗过程，该患者患有晚期慢性牙周炎和病理性牙齿迁移，采用了跨学科的正畸-牙周治疗方法。通过综合牙周治疗，策略性地使用微螺钉辅助快速腭扩张（MARPE），并仔细考虑应用力系统，既解决了功能问题，又满足了美观需求，且没有引起不良的牙周副作用。这凸显了在治疗牙周健康状况较差的患者进行正畸牙齿移动时，进行周到的治疗计划和牙周护理整合的重要性，以实现成功和美观的结果。
