Review Article

Orthodontic Management in Aggressive Periodontitis

Table 1

Summary of the case reports in the orthodontic management of aggressive periodontitis.

Author (year)PatientAggressive periodontitisType of periodontal procedures doneDuration of active orthodontic treatmentOrthodontic considerations during treatment
SexAge

Ishihara et al. [30]
(2015)
F21GeneralizedSurgical and nonsurgical28 months(i) Close monitoring of serum IgG against A. actinomycetemcomitans and Prevotella intermedia
(ii) Preadjusted edgewise appliance with self-ligating brackets
(iii) Initial levelling with 0.012 nickel titanium wire
(iv) Lingual bonded retainer as well as wrap around retainer after active therapy

Closs et al. [65]
(2010)
F22LocalizedSurgical and nonsurgical32 months(i) Extraction of maxillary deciduous second molars followed by mesial movement of maxillary molars (missing maxillary second premolars)
(ii) Segmented mechanics and light force
(iii) Removable retainer in maxillary while fixed lingual retainer in mandibular arch

Miyamoto et al. [66]
(2008)
F24LocalizedNonsurgical40 months(i) Extraction of maxillary first premolars and subapical osteotomy to reposition it back
(ii) Extraction of mandibular central incisor and proximal stripping of other incisors to minimize tooth movement in lower arch
(iii) Flexible spiral wire and removable circumferential retainer

Passanezi et al. [67]
(2007)
F17LocalizedSurgical and nonsurgical26 months(i) Initial levelling with light force (0.012 NITI)
(ii) Intrusion of flared and extruded maxillary incisors with reverse curve wire
(iii) Class II elastics for overjet control
(iv) Permanent fixed retention in both arches with removable retainer in maxillary arch

Craddock et al. [68]
(2007)
F27Generalized7 months(i) Alignment and levelling of the drifted upper incisors with fixed appliance
(ii) permanent bonded retainer

Ogino et al. [69]
(2006)
F30LocalizedSurgical and nonsurgical19 months(i) Intrusion of maxillary and mandibular incisors to reduce overbite
(ii) Retraction of maxillary incisors to reduce overjet
(iii) Begg retainer in maxillary arch and fixed retainer in mandibular arch

Maeda et al. [70]
(2005)
F27LocalizedSurgical and nonsurgical21 months(i) Extraction of 11 and 31
(ii) Levelling and alignment started with 0.012 Nickel titanium archwire
(iii) Cervical pull headgear
(iv) Multiloop edgewise archwire
(v) Maxillary circumferential removable retainer and mandibular bonded canine to canine retainer

Okada et al. [71]
(2000)
M17LocalizedNonsurgical36 months(i) Patient presented with Pierre robins sequence
(ii) Extraction of maxillary first premolars and retraction and alignment of upper anteriors
(iii) During levelling, maxillary left central incisor showed marked mobility and thus is extracted (later replaced with fixed bridge).
(iv) Active orthodontic therapy was halted for half a year
(v) Simultaneous use of quad helix for maxillary arch expansion
(vi) Wrap around retainer

Harpenau and Boyd [64] (2000)F16LocalizedNonsurgical(i) Extraction of all first molars and subsequent space closure with retraction and well as protraction

Folio et al. [72]
(1985)
M32Localized4 months(i) Supra-erupted maxillary left lateral incisor
(ii) 0.019 by 0.022 inch passive arch wire with 0.018 inch round wire “kicker” for intrusive force
(iii) Mild root resorption of the intruded tooth maintaining the vitality
(iv) Upper Hawley’s appliance for retention

Folio et al. [72]
(1985)
M21Localized4 months(i) Maxillary left lateral incisor was in crossbite which was corrected with 0.016′′ Nickel titanium wire
(ii) Modified Hawley’s retainer after alignment

Folio et al. [72]
(1985)
F28Localized11 months(i) Extensively drifted maxillary incisors were aligned and space closure by 0.018 by 0.022 inch wire with closing loops

Folio et al. [72]
(1985)
F16Localized19 months(i) Intrusion of mandibular incisors and alignment of maxillary anteriors (which was pathologically migrated)
(ii) Removable Hawley’s retainer

McLain et al. [73]
(1983)
F12LocalizedNonsurgical36 months(i) Extraction of severely affected teeth (all first molars and four lower incisors and left maxillary central incisor)
(ii) Mesialization of second and third molars 3 yrs after the extraction
(iii) Upper 17 × 22 and lower 17 × 25 wire with loops were used to close the space