Long-term effect of augmented corticotomy assisted orthodontic treatment for adult patients with moderate to severe periodontitis

Abstract

Abstract: PURPOSE: To investigate the long-term effect of augmented corticotomy assisted orthodontic treatment for adult patients with moderate to severe periodontitis. METHODS: A joint orthodontic and orthognathic consultation was performed on 3 adult patients diagnosed as moderate to severe periodontitis with an average age of 31 years old. Augmented corticotomy assisted orthodontic treatment and combined periodontal therapy were carried out with long-term follow-up of 2-3 years. RESULTS: Augmented corticotomy assisted orthodontic treatment resulted in normal facial appearances and occlusal relationships without the occurrences of periodontal iatrogenic sequelae. The long-term effect of alveolar augmentation were maintained at the surgical sites. CONCLUSIONS: Augmented corticotomy assisted orthodontic treatment is a promising technique for treatment of adult patients with moderate to severe periodontitis.

Key words: Augmented corticotomy assisted orthodontic treatment, Adult, Periodontitis, Cone-beam CT, Long-term effect

CLC Number:

R783.5

WANG Bo, YU Hong-bo, SUN Liang-yan, SHEN Guo-fang, WANG Xu-dong, FANG Bing, GUO Qiu-man. Long-term effect of augmented corticotomy assisted orthodontic treatment for adult patients with moderate to severe periodontitis[J]. China Journal of Oral and Maxillofacial Surgery, 2016, 14(3): 234-238.

References

[1] Consolaro A. In adults: 47.2% have periodontitis! How about in orthodontic patients [J]. Dental Press J Orthod, 2013, 18(1): 3-5.
[2] Ma ZG, Yang C, Fang B, et al. Three-D imaging of dental alveolar bone change after fixed orthodontic treatment in patients with periodontitis [J]. Int J Clin Exp Med, 2015, 8(2): 2385-2391.
[3] Handelman CS. The anterior alveolus: its importance in limiting orthodontic treatment and its influence on the occurrence of iatrogenic sequelae [J]. Angle Orthod, 1996, 66(2): 95-109.
[4] 王博, 房兵, 樊林峰, 等. 成人骨性Ⅲ类错下前牙区牙槽厚度的测量分析[J]. 上海口腔医学, 2012, 21(4): 422-426.
[5] Wehrbein H, Bauer W, Diedrich P. Mandibular incisors, alveolar bone, and symphysis after orthodontic treatment. A retrospective study[J]. Am J Orthod Dentofacial Orthop, 1996, 110(3): 239-246.
[6] Ten Hoeve A, Mulie RM. The effect of antero-postero incisor repositioning on the palatal cortex as studied with laminagraphy [J]. J Clin Orthod, 1976, 10(11): 804-822.
[7] Mulie RM, Hoeve AT. The limitations of tooth movement within the symphysis, studied with laminagraphy and standardized occlusal films [J]. J Clin Orthod, 1976, 10(12): 882-893.
[8] Vardimon AD, Oren E, Ben-Bassat Y. Cortical bone remodeling/tooth movement ratio during maxillary incisor retraction with tip versus torque movements [J]. Am J Orthod Dentofacial Orthop, 1998, 114(5): 520-529.
[9] Wilcko MT, Wilcko WM, Pulver JJ, et al. Accelerated osteogenic orthodontics technique: a 1-stage surgically facilitated rapid orthodontic technique with alveolar augmentation[J]. J Oral Maxillofac Surg, 2009, 67(10): 2149-2159.
[10] Wilcko WM, Wilcko T, Bouquot JE, et al. Rapid orthodontics with alveolar reshaping: two case reports of decrowding [J]. Int J Periodontics Restorative Dent, 2001, 21(1): 9-19.
[11] 王博, 沈国芳, 房兵, 等. 牙槽骨再生正畸治疗下前牙区牙槽骨发育不良的成人骨性Ⅲ类错畸形 [J].中国口腔颌面外科杂志, 2014, 12(3): 223-227.
[12] 王博, 沈国芳, 房兵, 等. 微手术正畸治疗骨性Ⅲ类错伴下前牙区牙槽骨发育不良的效果评价[J]. 上海口腔医学,2012,21(5): 535-540.
[13] Wang B, Shen G, Fang B, et al. Augmented corticotomy-assisted surgical orthodontics decompensates lower incisors in Class Ⅲ malocclusion patients [J]. J Oral Maxillofac Surg, 2014, 72(3): 596-602.
[14] Wang B, Shen G, Fang B, et al. Augmented corticotomy-assisted presurgical orthodontics of Class Ⅲ malocclusions: a cephalometric and cone-beam computed tomography study [J]. J Craniofac Surg, 2013, 24(6): 1886-1890.
[15] Wang B, Yu H, Shen G, et al. Augmented corticotomy assisted orthodontics of an adult patient with alveolar defect [J]. J Craniofac Surg, 2015, 26(2): 600-101.
[16] 王博, 房兵, 张莉. 成人骨性Ⅲ类错下前牙冠根形态的锥形束CT分析[J]. 中国口腔颌面外科杂志, 2011, 9(6): 472-476.
[17] Adams GL, Gansky SA, Miller AJ, et al. Comparison between traditional 2-dimensional cephalometry and a 3-dimensional approach on human dry skulls [J]. Am J Orthod Dentofacial Orthop, 2004, 126(4): 397-409.
[18] Loubele M, Bogaerts R, Van Dijck E, et al. Comparison between effective radiation dose of CBCT and MSCT scanners for dentomaxillofacial applications[J]. Eur J Radiol,2009,71(3):461-468.
[19] 孙良龚, 王博, 房兵. 错畸形伴牙槽骨缺损及其治疗方式[J]. 北京口腔医学, 2013, 21(3): 176-177.
[20] Sebaoun JD, Kantarci A, Turner JW, et al. Modeling of trabecular bone and lamina dura following selective alveolar decortication in rats [J]. J Periodontol, 2008, 79(9): 1679-1688.
[21] Iino S, Sakoda S, Ito G, et al. Acceleration of orthodontic tooth movement by alveolar corticotomy in the dog[J]. Am J Orthod Dentofacial Orthop, 2007, 131(4): 448. e1-8.
[22] 施捷, 付民魁. 牙周病正畸治疗中的误区[J]. 口腔正畸学, 2005, 12(3):140-142.