Several publications describe the possibility and limits of orthodontic treatment in periodontal patients to achieve good occlusion. Pathologic tooth migration (PTM) is a change in tooth position that occurs when a disruption of forces maintains teeth in a normal relationship. PTM can result in severe dental disfiguration and compromise a patient’s selfesteem. In order to correct this pathologic and unaesthetic condition, different orthodontic appliances are described in the literature. Among them, elastodontic devices have been recently proposed with good results in terms of patient compliance and treatment efficacy. The aim of this work is to evaluate the use of elastodontic devices for PTM correction in a series of periodontally compromised patients. The reported cases demonstrated that elastodontic treatment could support and complete periodontal therapy with an occlusal stabilization activity, especially in cases characterized by occlusal trauma. This additional therapy stabilized teeth movement recovery a harmonic occlusion, recovery an acceptable aesthetics, and corrected altered muscle functions such as atypical swallowing. Further studies are needed to investigate these innovative therapeutic procedures better.

Pathologic tooth migration and atypical swallowing in periodontal patients: A new approach with elastodontic therapy-clinical series

Palermo A.
;
2021-01-01

Abstract

Several publications describe the possibility and limits of orthodontic treatment in periodontal patients to achieve good occlusion. Pathologic tooth migration (PTM) is a change in tooth position that occurs when a disruption of forces maintains teeth in a normal relationship. PTM can result in severe dental disfiguration and compromise a patient’s selfesteem. In order to correct this pathologic and unaesthetic condition, different orthodontic appliances are described in the literature. Among them, elastodontic devices have been recently proposed with good results in terms of patient compliance and treatment efficacy. The aim of this work is to evaluate the use of elastodontic devices for PTM correction in a series of periodontally compromised patients. The reported cases demonstrated that elastodontic treatment could support and complete periodontal therapy with an occlusal stabilization activity, especially in cases characterized by occlusal trauma. This additional therapy stabilized teeth movement recovery a harmonic occlusion, recovery an acceptable aesthetics, and corrected altered muscle functions such as atypical swallowing. Further studies are needed to investigate these innovative therapeutic procedures better.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11587/539826
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