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In situ Compressive Loading and Correlative Noninvasive Imaging of the Bone-periodontal Ligament-tooth Fibrous Joint
Published on: March 7, 2014
Expansion: how much can the periodontium tolerate?
1Department of Orthodontics, Royal Dental College, University of Aarhus, Aarhus C, Denmark.
Clinical Orthodontics and Research
|October 31, 2001
Summary
This study presents a borderline case of resolving dental crowding through extreme expansion, demonstrating acceptable outcomes without adverse periodontal effects in an adult patient.
Area of Science:
- Orthodontics
- Periodontology
Background:
- Arch length discrepancy is commonly managed through tooth extraction or dental expansion.
- Both methods have potential adverse effects, including soft tissue retraction with extractions and gingival dehiscences with expansion, particularly in adult patients.
Purpose of the Study:
- To report on a borderline case of severe dental crowding managed with extreme expansion.
- To evaluate the periodontal outcomes of this expansion approach in an adult patient.
Main Methods:
- A case report detailing the orthodontic management of severe arch length discrepancy.
- Utilized extreme dental expansion to resolve crowding in an adult patient.
- Monitored for adverse periodontal effects throughout and after treatment.
Main Results:
- Severe dental crowding was acceptably resolved through extreme expansion.
- No adverse periodontal effects, such as gingival recession or dehiscence, were observed.
Conclusions:
- Extreme dental expansion can be a viable treatment option for resolving severe arch length discrepancy in specific adult cases.
- Careful case selection and monitoring can mitigate risks associated with expansion, achieving favorable aesthetic and periodontal results.
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