Orthodontic treatment in an adult patient with inactive periodontal disease

Abstract

Objective: To present a case report of the orthodontic management of an adult female patient with inactive periodontal disease, skeletal Cl II with proclination, protrusion, extrusion and multiple missing teeth. Methods: An interdisciplinary treatment plan with periodontics and prosthodontics was determined. MBT 0.022” fi xed orthodontic appliances, light forces and contraction archwires were used to correct overerupted teeth, proclination, protrusion and spacing in the upper arch. Stripping was made to reduce interdental black triangles. Results: Proclination, protrusion and extrusion decreased. Adequate overjet and overbite were achieved, tooth mobility was reduced and the periodontal condition was improved. Conclusions: Orthodontic treatment in adult patients with periodontal disease is limited but it helps achieve better function, aesthetics and integrity of periodontal tissues as well as facilitates the management of future prosthetic rehabilitation.Key words: Orthodontics, adult patient, periodontal disease.