Adult orthodontic treatment has become increasingly popular. The primary motivating factor for seeking orthodontic treatment in adults is facial and dental esthetics, especially the alignment of their anterior teeth. Pathologic migration of anterior teeth is a common cause of esthetic concern among adult patients. The anchorage control is very important in the orthodontic treatment for the dentition with compromised periodontal support. Mini-implant anchorage provides a good solution to this situation. However, the force level should be light and consistent. Herein we report a 33-year-old female patient who presented a Class II division 1 malocclusion with maxillary anterior crowding, protrusion, and compromised periodontal support. After periodontal phase I and phase II treatment, she was arranged to consult orthodontic department for correcting the malalignment and protrusion of her upper incisors. The orthodontic treatment was facilitated with 2 miniscrews as temporary anchorage devices for anterior retraction. Active orthodontic treatment was conducted only for upper dentition in the first 6 months, and followed by full-mouth fixed appliance therapy. Active orthodontic treatment was completed in 1 year and 11 months. The orthodontic treatment outcomes and the periodontal conditions were stable 2 years and 9 months after active treatment. An interdisciplinary approach is required to achieve a good treatment outcome in the treatment of periodontally compromised patients.
Lin, Jiun-Hao; Wu, Kuan-Yi; Hong, I-Ling; and Chen, Yi-Jane
"Orthodontic Treatment for a Periodontally Compromised Class II Malocclusion - A Case Report,"
Taiwanese Journal of Orthodontics: Vol. 24:
2, Article 6.
Available at: https://www.tjo.org.tw/tjo/vol24/iss2/6