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Pathologic migration--spontaneous correction following periodontal therapy: a case report
Jagjit Singh1, Ramchandra N Deshpande
1Department of Dentistry, Government Medical College and Hospital, Sector 32, Chandigarh 160047, India. dhaliwaljagjit@rediffmail.com
Quintessence International (Berlin, Germany : 1985)
|March 13, 2002
Summary
Periodontal disease can cause tooth migration, leading to gaps like diastemas. Successful periodontal treatment in a teen led to spontaneous repositioning of migrated incisors, improving aesthetics.
Area of Science:
- Dentistry
- Periodontology
- Orthodontics
Background:
- Periodontal disease is a common oral health issue.
- Pathologic tooth migration, particularly of maxillary incisors, can arise from periodontal disease.
- This migration often presents as a significant esthetic concern for patients.
Observation:
- A 17-year-old female presented with increasing gaps between her maxillary incisors.
- Gingival enlargement was noted in the palatal maxillary anterior region.
- Central incisors exhibited pathologic migration, creating a 2-mm diastema.
Findings:
- Periodontal treatment was initiated and successfully completed.
- Following treatment, spontaneous repositioning of the pathologically migrated central incisors was observed.
- A six-month follow-up confirmed stable periodontal health with no signs of deterioration.
Implications:
- Periodontal therapy can potentially resolve or improve pathologically migrated teeth.
- Spontaneous tooth movement following periodontal treatment may reduce the need for extensive orthodontic intervention.
- Further orthodontic treatment was recommended for residual diastema, indicating a combined approach may be necessary.