Document Type : Case Reports

Authors

• Boutaina El Guennouni ¹
• Hajar Ben Mohimd ²
• Intissar El Idrissi ²
• Fatima Zaoui ²

¹ Postgraduate Student, Dept. of Dentofacial Orthopaedics, Faculty of Dental Medicine, Mohammed V University in Rabat, Morocco.

² Dept. of Dentofacial Orthopaedics, Faculty of Dental Medicine, Mohammed V University in Rabat, Morocco.

Abstract

Grade C periodontitis is characterized by rapid and severe periodontal destruction, mostly affecting young healthy individuals. In moderate to severe cases (Stage III to IV), the decreased periodontal support can result in the development of secondary malocclusions, urging young patients to seek orthodontic treatment to reestablish a healthy and functional dentition. This case report presents a 17-year-old female patient, referred to the orthodontic department by her periodontist after managing and controlling her generalized Stage III, Grade C periodontitis, with chief complaint of prominent inter-incisal gaps. The clinical examination revealed a skeletal class III malocclusion (Wits appraisal= -7mm) with bilateral class III molar and canine relationship, proclined maxillary incisors with angular bone resorption reaching the middle third of the root, and tongue thrust dysfunction. The patient underwent orthodontic treatment, with fixed multibracket appliance and personalized biomechanics using light forces. Regular visits with her periodontist were scheduled along the course of treatment to provide thorough guidance on oral hygiene and control of periodontal disease. The treatment objectives were achieved, providing a stable class I occlusion with an acceptable overjet and overbite, coordinated midlines and acceptable profile esthetics.

Keywords

• Periodontitis
• Tooth Displacement
• Orthodontics
• Malocclusion
• Case reports