Orthodontic, periodontal and prosthodontic treatment for a periodontally compromised patient with a deep overbite


Share / Export Citation / Email / Print / Text size:

Australasian Orthodontic Journal

Australian Society of Orthodontists

Subject: Dentistry, Orthodontics & Medicine


ISSN: 2207-7472
eISSN: 2207-7480





Volume / Issue / page

Volume 38 (2022)
Volume 37 (2021)
Volume 36 (2020)
Volume 35 (2019)
Volume 34 (2018)
Volume 33 (2017)
Volume 32 (2016)
Volume 31 (2015)
Related articles

VOLUME 36 , ISSUE 2 (November 2020) > List of articles

Orthodontic, periodontal and prosthodontic treatment for a periodontally compromised patient with a deep overbite

Wanlu Ouyang / Yufen Qian *

Citation Information : Australasian Orthodontic Journal. Volume 36, Issue 2, Pages 228-237, DOI: https://doi.org/10.21307/aoj-2020-026

License : (CC BY 4.0)

Published Online: 20-July-2021



Background: Periodontitis may result in displacement, overeruption and the tilting of teeth, which can lead to occlusal prematurities and accelerate the loss of periodontal structures. Orthodontic treatment is needed to correct displaced tooth positions, but inappropriate force and tooth movement can lead to further loss of supporting tissues.

Aim: To describe the treatment of a deep overbite in a 32-year-old male with a history of periodontitis, gingival recession and missing premolars.

Methods: After evaluation, fixed appliances applying light forces were chosen as the appropriate treatment approach. A segmental arch and a utility arch technique were applied. Periodontal therapy was conducted before and throughout orthodontic care.

Results: After 28 months of treatment, a normal overbite and overjet were restored. A displaced premolar was repositioned. Space needed for the prosthetic replacement of the missing teeth was obtained and dental implants were planned after orthodontic treatment. The height of the alveolar bone increased in some areas. After 18 months of retention, the attachment level of the upper left incisor increased approximately 1 mm.

Conclusion: For patients with a compromised periodontium, adequate management of the tissues is the basis of orthodontic care. Appropriate orthodontic treatment may be beneficial to periodontal health in the long term.

Content not available PDF Share



1. Ngom PI, Diagne F, Benoist HM, Thiam F. Intraarch and interarch relationships of the anterior teeth and periodontal conditions. Angle Orthod 2006;76:236-42.

2. Martinez-Canut P, Carrasquer A, Magán R, Lorca A. A study on factors associated with pathologic tooth migration. J Clin Periodontol 1997;24:492-7.

3. Hazan-Molina H, Levin L, Einy S, Aizenbud D. Aggressive periodontitis diagnosed during or before orthodontic treatment. Acta Odontol Scand 2013;71:1023-31.

4. Gkantidis N, Christou P, Topouzelis N. The orthodontic-periodontic interrelationship in integrated treatment challenges: a systematic review. J Oral Rehabil 2010;37:377-90.

5. Demling A, Heuer W, Elter C, Heidenblut T, Bach FW, SchwestkaPolly R et al. Analysis of supra- and subgingival long-term biofilm formation on orthodontic bands. Eur J Orthod 2009;31:202-6.

6. Artun J, Urbye KS. The effect of orthodontic treatment on periodontal bone support in patients with advanced loss of marginal periodontium. Am J Orthod Dentofacial Orthop 1988;93:143-8.

7. Eliasson LA, Hugoson A, Kurol J, Siwe H. The effects of orthodontic treatment on periodontal tissues in patients with reduced periodontal support. Eur J Orthod 1982;4:1-9.

8. Nelson PA, Artun J. Alveolar bone loss of maxillary anterior teeth in adult orthodontic patients. Am J Orthod Dentofacial Orthop 1997;111:328-34.

9. Re S, Corrente G, Abundo R, Cardaropoli D. Orthodontic treatment in periodontally compromised patients: 12-year report. Int J Periodontics Restorative Dent 2000;20:31-9.

10. Speer C, Pelz K, Hopfenmüller W, Holtgrave EA. Investigations on the influencing of the subgingival microflora in chronic periodontitis. A study in adult patients during fixed appliance therapy. J Orofac Orthop 2004;65:34-47.

11. Socransky SS, Haffajee AD. The nature of periodontal diseases. Ann Periodontol 1997;2:3-10.

12. Ericsson I, Thilander B, Lindhe J, Okamoto H. The effect of orthodontic tilting movements on the periodontal tissues of infected and non-infected dentitions in dogs. J Clin Periodontol 1977;4:278- 93.

13. Corrente G, Abundo R, Re S, Cardaropoli D, Cardaropoli G. Orthodontic movement into infrabony defects in patients with advanced periodontal disease: a clinical and radiological study. J Periodontol 2003;74:1104-9.

14. Re S, Cardaropoli D, Abundo R, Corrente G. Reduction of gingival recession following orthodontic intrusion in periodontally compromised patients. Orthod Craniofac Res 2004;7:35-9.

15. Alves de Souza R, Borges de Araújo Magnani MB, Nouer DF, Oliveira da Silva C, Klein MI, Sallum EA et al. Periodontal and microbiologic evaluation of 2 methods of archwire ligation: ligature wires and elastomeric rings. Am J Orthod Dentofacial Orthop 2008;134:506-12.

16. Türkkahraman H, Sayin MO, Bozkurt FY, Yetkin Z, Kaya S, Onal S. Archwire ligation techniques, microbial colonization, and periodontal status in orthodontically treated patients. Angle Orthod 2005;75:231-6.

17. Melsen B ed. Current controversies in orthodontics. Chicago: Quintessence, 1991:147-80.

18. Melsen B, Agerbaek N, Markenstam G. Intrusion of incisors in adult patients with marginal bone loss. Am J Orthod Dentofacial Orthop 1989;96:232-41.

19. Proffit WR, Fields HW Jr, Sarver DM. Contemporary Orthodontics. 4th edn. St. Louis: Mosby, 2007;234-67.