Correctional repositioning of pathologically migrated maxillary premolars through periodontal therapy
Keywords:
Periodontitis, bicuspids, pathologic tooth migration, root Planing, spontaneous reposition.Abstract
Pathological tooth migration (PTM) is the displacement of teeth as a balance among forces that maintain the position are disrupted. It is a common occurrence in a patient suffering from periodontitis. Its treatment includes periodontal therapy followed by a complex interdisciplinary approach to rectify the tooth position. However, it has also been observed that in certain cases periodontal therapy alone can cause a corrective repositioning of the teeth leading to a closure or a reduction in the displacement. Present case report depicts a nineteen-year-old, healthy nonsmoker male patient with generalized Stage IV Grade C periodontitis. Deep periodontal pockets in #24 and #25 were observed along with a pathological migration of 1.6mm. The patient underwent conventional periodontal
surgical intervention. It was noted that the therapy resulted in a reduction of the gap from 1.6 to 0.2mm and distal migration of #24 and a bucco-mesial migration of #25 in the course of one year of follow up. Thus, an early diagnosis and treatment of PTM through
the restoration of periodontal health at the right time can cause a corrective repositioning of the teeth in a predictable direction.
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Copyright (c) 2021 Sumidha Bansal, Chandrababu S Baiju, Karuna Joshi
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