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CASE REPORT
Year : 2018  |  Volume : 9  |  Issue : 3  |  Page : 113-117

Orthodontic–periodontics interdisciplinary nonsurgical approach to manage infrabony osseous defect


1 Military Dental Centre, Nashik, Maharashtra, India
2 Graded Specialist (Orthodontics and Dentofacial Orthopedics), 310 Field Hospital, Jammu and Kashmir, India

Correspondence Address:
Dr. Vivek B Mandlik
C.6/13, Salunkhe Vihar, Pune - 411 022, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijor.ijor_5_18

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Clinicians often encounter infrabony osseous defects that are usually best treated by periodontal surgical techniques, including bone grafting and guided tissue regeneration, with a goal of establishing a new connective tissue attachment. On occasion, infrabony osseous defect proximal to a central incisor with extrusion and large midline diastema may present an opportunity to consider a resolution by orthodontic–periodontic interdisciplinary approach. Orthodontics has been used as an adjunct to periodontics to increase connective tissue support and alveolar bone height. In modern clinical practice, the orthodontic–periodontic interdisciplinary approach is essential for optimized treatment outcomes. The purpose of this case report is to highlight the importance of orthodontic–periodontic interdisciplinary approach in clinical practice and to improve the level of cooperation between dental practitioners. The authors decided to treat an advanced case of periodontitis, with extrusion and pathological migration of a maxillary central incisor, using orthodontic–periodontic interdisciplinary approach. After the nonsurgical conventional periodontal therapy, the orthodontic movement was started, and the incisor was repositioned using an intrusive mechanism. There was a significant clinical decrease in the probing depth values, and radiographs showed a remarkable reduction of the infrabony osseous defect.


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