Table of Contents
International Scholarly Research Notices
Volume 2017 (2017), Article ID 8098154, 8 pages
https://doi.org/10.1155/2017/8098154
Review Article

Orthodontic Management in Aggressive Periodontitis

1Department of Orthodontics, College of Dental Surgery, B.P. Koirala Institute of Health Sciences, Dharan 56700, Nepal
2Department of Periodontics, Kathmandu Medical College and Teaching Hospital, Kathmandu 44600, Nepal

Correspondence should be addressed to Rajesh Gyawali

Received 6 September 2016; Revised 18 January 2017; Accepted 26 January 2017; Published 16 February 2017

Academic Editor: Hee-Jin Kim

Copyright © 2017 Rajesh Gyawali and Bhagabat Bhattarai. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aggressive periodontitis is a type of periodontitis with early onset and rapid progression and mostly affecting young adults who occupy a large percentage of orthodontic patients. The role of the orthodontist is important in screening the disease, making a provisional diagnosis, and referring it to a periodontist for immediate treatment. The orthodontist should be aware of the disease not only before starting the appliance therapy, but also during and after the active mechanotherapy. The orthodontic treatment plan, biomechanics, and appliance system may need to be modified to deal with the teeth having reduced periodontal support. With proper force application and oral hygiene maintenance, orthodontic tooth movement is possible without any deleterious effect in the tooth with reduced bone support. With proper motivation and interdisciplinary approach, orthodontic treatment is possible in patients with controlled aggressive periodontitis.