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"Crawling Attachment" during Periodontally Accelerated Osteogenic Orthodontics Procedure
Cimara Fortes Ferreira1, David Wong2, Lesley H Binkley1
1Department of Periodontology, University of Tennessee Health Sciences College of Dentistry, Memphis, TN, USA.
Contemporary Clinical Dentistry
|July 5, 2021
Summary
Periodontally accelerated osteogenic orthodontics may increase keratinized gingiva. This case report details a patient with stable gingival tissue growth post-surgery, suggesting a potential benefit for orthodontic treatments.
Area of Science:
- Dentistry
- Orthodontics
- Periodontology
Background:
- Periodontally accelerated osteogenic orthodontics (PAOO) is a technique to speed up tooth movement.
- Gingival tissue dimensions can be affected by orthodontic procedures.
- Understanding these effects is crucial for predictable treatment outcomes.
Observation:
- A patient with Angle Class I malocclusion and impacted #11 underwent PAOO.
- Surgical excision of gingiva was performed during the procedure.
- An increased zone of keratinized gingiva was observed post-operatively.
Findings:
- The patient exhibited a stable increase in keratinized gingival tissue over a 2.1-year follow-up.
- The exact mechanisms for this gingival hyperplasia following PAOO require further investigation.
- This finding suggests a potential regenerative or adaptive response of gingival tissues.
Implications:
- This case highlights a possible positive side effect of PAOO on gingival tissue.
- Further research is needed to elucidate the causes and long-term stability of this phenomenon.
- Clinicians should be aware of potential gingival tissue changes during PAOO.
