Orthodontic considerations and timing selection for patients with stage Ⅳ periodontitis

Patients suffering from stage Ⅳ periodontitis manifest substantial alveolar bone destruction and pronounced tooth loss, frequently accompanied by masticatory dysfunction, occlusal disorder and tooth displacement or torsion. Standard periodontal interventions alone are insufficient to stabilize the c...

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Main Author: PENG Yan, ZHANG Chi, GAO Li, LI Xiting, ZHAO Chuanjiang
Format: Article
Language:zho
Published: Editorial Office of Stomatology 2025-01-01
Series:Kouqiang yixue
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Online Access:https://www.stomatology.cn/fileup/1003-9872/PDF/1737011877218-529442615.pdf
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author PENG Yan, ZHANG Chi, GAO Li, LI Xiting, ZHAO Chuanjiang
author_facet PENG Yan, ZHANG Chi, GAO Li, LI Xiting, ZHAO Chuanjiang
author_sort PENG Yan, ZHANG Chi, GAO Li, LI Xiting, ZHAO Chuanjiang
collection DOAJ
description Patients suffering from stage Ⅳ periodontitis manifest substantial alveolar bone destruction and pronounced tooth loss, frequently accompanied by masticatory dysfunction, occlusal disorder and tooth displacement or torsion. Standard periodontal interventions alone are insufficient to stabilize the condition, address masticatory dysfunction, and enhance patients’ quality of life. Hence, intricate reconstructive and interdisciplinary regimens, encompassing orthodontic treatment, are often indispensable. Orthodontic therapy can optimize the masticatory function and esthetic appearance of patients, and promote periodontal well-being. However, individuals with stage Ⅳ periodontitis present with inadequate periodontal support tissue and a heightened risk profile, rendering their orthodontic management a considerable clinical challenge. This article reviews the orthodontic considerations and optimal timing for intervention in patients with stage Ⅳ periodontitis and presents a representative case of combined periodontal-orthodontic-orthognathic treatment for periodontitis(stage Ⅳ, grade C), in order to provide reference for periodontists and orthodontists.
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spelling doaj-art-01ea9890070b4f92a6177f973afd9b8c2025-01-24T02:09:30ZzhoEditorial Office of StomatologyKouqiang yixue1003-98722025-01-01451253610.13591/j.cnki.kqyx.2025.01.005Orthodontic considerations and timing selection for patients with stage Ⅳ periodontitisPENG Yan, ZHANG Chi, GAO Li, LI Xiting, ZHAO Chuanjiang0Department of Periodontology, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University & Guangdong Provincial Clinical Research Center of Oral Diseases, Guangzhou 510055, ChinaPatients suffering from stage Ⅳ periodontitis manifest substantial alveolar bone destruction and pronounced tooth loss, frequently accompanied by masticatory dysfunction, occlusal disorder and tooth displacement or torsion. Standard periodontal interventions alone are insufficient to stabilize the condition, address masticatory dysfunction, and enhance patients’ quality of life. Hence, intricate reconstructive and interdisciplinary regimens, encompassing orthodontic treatment, are often indispensable. Orthodontic therapy can optimize the masticatory function and esthetic appearance of patients, and promote periodontal well-being. However, individuals with stage Ⅳ periodontitis present with inadequate periodontal support tissue and a heightened risk profile, rendering their orthodontic management a considerable clinical challenge. This article reviews the orthodontic considerations and optimal timing for intervention in patients with stage Ⅳ periodontitis and presents a representative case of combined periodontal-orthodontic-orthognathic treatment for periodontitis(stage Ⅳ, grade C), in order to provide reference for periodontists and orthodontists.https://www.stomatology.cn/fileup/1003-9872/PDF/1737011877218-529442615.pdf|stage ⅳ periodontitis|combined periodontal and orthodontic therapy|orthodontic considerations and timing selection
spellingShingle PENG Yan, ZHANG Chi, GAO Li, LI Xiting, ZHAO Chuanjiang
Orthodontic considerations and timing selection for patients with stage Ⅳ periodontitis
Kouqiang yixue
|stage ⅳ periodontitis|combined periodontal and orthodontic therapy|orthodontic considerations and timing selection
title Orthodontic considerations and timing selection for patients with stage Ⅳ periodontitis
title_full Orthodontic considerations and timing selection for patients with stage Ⅳ periodontitis
title_fullStr Orthodontic considerations and timing selection for patients with stage Ⅳ periodontitis
title_full_unstemmed Orthodontic considerations and timing selection for patients with stage Ⅳ periodontitis
title_short Orthodontic considerations and timing selection for patients with stage Ⅳ periodontitis
title_sort orthodontic considerations and timing selection for patients with stage iv periodontitis
topic |stage ⅳ periodontitis|combined periodontal and orthodontic therapy|orthodontic considerations and timing selection
url https://www.stomatology.cn/fileup/1003-9872/PDF/1737011877218-529442615.pdf
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