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CC BY-NC-ND 4.0 · Eur J Dent 2014; 08(03): 407-411
DOI: 10.4103/1305-7456.137657
Case Report
Dental Investigation Society

Improvement of an anterior infrabone defect using combined periodontal and orthodontic therapy: A 6-year follow-up case report

Rafael Scaf de Molon
1   Department of Diagnosis and Surgery, School of Dentistry at Araraquara, University of Estadual Paulista, Araraquara, São Paulo, Brazil
,
Yeon Jung Kim
2   Department of Implantology, University of Santo Amaro, Santo Amaro, Sao Paulo, Brazil
,
Ary dos Santos-Pinto
3   Department of Orthodontics, School of Dentistry at Araraquara, University of Estadual Paulista, Araraquara, São Paulo, Brazil
,
Joni Augusto Cirelli
1   Department of Diagnosis and Surgery, School of Dentistry at Araraquara, University of Estadual Paulista, Araraquara, São Paulo, Brazil
› Author Affiliations
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Publication History

Publication Date:
25 September 2019 (online)

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ABSTRACT

Extensive intraosseous lesions represent a clinical challenge for the periodontist. Sites with bone defects have been shown to be at higher risk of periodontitis progression in patients who had not received periodontal therapy. Thus, the aim of this case report was to describe a novel approach for the treatment of 1-walled intraosseous defect by combining nonsurgical periodontal therapy and orthodontic movement toward the bone defect, avoiding regenerative and surgical procedures. A 47-year-old woman underwent the proposed procedures for the treatment of her left central incisor with 9 mm probing depth and 1-walled intraosseous defect in its mesial aspect. Initially, basic periodontal therapy with scaling and root planning was accomplished. Two months later, an orthodontic treatment was planned to eliminate the intraosseous lesion and to improve the interproximal papillary area. Orthodontic root movement toward the osseous defect was performed for 13 months with light forces. After 6 years postoperative it was concluded that combined basic periodontal therapy and orthodontic movement was capable of eliminating the intraosseous defect and improve the esthetics in the interproximal papillary area between the central incisors.

Key words:

Interproximal papillary area - intraosseous bone defect - periodontal treatment - periodontitis - tooth movement
 

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