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Orthodontic Management of a Migrated Maxillary Central Incisor With a Secondary Occlusal Trauma
Author(s) -
Thierens Laurent A.M.,
Van de Velde Tommie,
De Pauw Guy A.M.
Publication year - 2020
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1002/cap.10070
Subject(s) - medicine , periodontium , dentistry , maxillary central incisor , orthodontics , incisor
Normal or excessive occlusal forces exerted on teeth with a reduced periodontal support might result in a secondary occlusal trauma. This type of injury is diagnosed based on histological changes in the periodontium. Multiple clinical and radiographic indicators are, therefore, required as surrogates to assist the presumptive diagnosis of a (secondary) occlusal trauma. Case Presentation In this case report, the diagnosis, management, and the 1‐year follow‐up of a secondary occlusal trauma of a maxillary central incisor are described. The occlusal relationship was rehabilitated with fixed orthodontic appliances and was further stabilized with both fixed and removable retainers. Conclusions A combined periodontal‐orthodontic approach for a secondary occlusal trauma allows the rehabilitation of periodontal, occlusal, and esthetic parameters. Twelve months after the end of the active orthodontic treatment, a combination of fixed and removable retainers showed to be effective in retaining the treatment outcome.