Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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Year : 2014  |  Volume : 18  |  Issue : 2  |  Page : 200-204

Orthodontic management of dentition in patients with periodontally compromised dentition

1 Adjutant General's Branch, IHQ, MOD (Army), New Delhi, India
2 Department of Dentistry, AFMC, Pune, Maharashtra, India
3 Armed Forces Dental Clinic, New Delhi, India

Correspondence Address:
Sukhdeep Singh
Armed Force Dental Clinic, Tyagraj Marg, New Delhi - 11
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-124X.131325

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Background: An increasing number of adult patients are seeking orthodontic treatment to improve their dental appearance. However, special attention must be given to the periodontal status of the adults as periodontal disease and its sequel, such as pathologic migration of anterior teeth, result in esthetic and functional problems. In such adult patients, an interdisciplinary approach often offers the best option for achieving a predictable outcome to solve complex clinical problems. Materials and Methods: A prospective study was carried out on 20 adult patients [mean age = 33.3 ± 4.52 (SD), 11 females and nine males] with periodontally compromised and malaligned dentition. Loe and Silness Gingival Index (GI), Ramfjord's Periodontal Disease Index (PDI) and Dental Aesthetic Index (DAI) were recorded at the start and after completion of treatment. Results: Comparison of GI, PDI and DAI before and after completion of treatment showed statistically significant differences, indicating the relevance of combined orthodontic-periodontic treatment in periodontally compromised dentition (P < 0.01). Conclusion: The outcome of the study showed that an interdisciplinary approach is a simple solution for complex clinical problems arising as a sequel to periodontitis, such as pathological tooth migration, restoring function, esthetics and periodontal health.

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