Journal of Dentistry

Orthodontic Management of Anteriorly Displaced Incisors Secondary to Stage III, Grade C Periodontitis in a Young adult Female Patient: a Case Report

Articles in Press

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.

10.30476/dentjods.2026.109455.2891
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
Journal of Dentistry

Articles in Press, Accepted Manuscript
Available Online from 11 May 2026

  • Receive Date 10 November 2025
  • Revise Date 29 April 2026
  • Accept Date 10 May 2026
  • First Publish Date 11 May 2026
  • Publish Date 11 May 2026

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