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Video Details
Sequencing of Periodontal Procedures and Orthodontic Treatment

Description:
Severe cases of periodontal disease often require periodontal surgery and realignment of teeth. Surgical techniques have been developed that attempt to minimize postsurgical gingival recession and compromise the interdental papillae. A case report is presented in which reversal and correction of a deteriorating maxillary frontal dentition were effectively achieved through combined use of periodontal and orthodontic principles. The treatment plan included the control of periodontal inflammation, restoration of lost attachment apparatus, realignment of anterior dentition, stabilization of occlusion, and minor periodontal plastic surgery. The anticipated loss of a maxillary lateral incisor was avoided. Restoration of a pleasant smile with nicely aligned teeth and esthetic gingival contours was achieved. The correct sequencing of the procedures involved was considered a key factor for the long-term esthetic outcome.

Date Added:
3/6/2014

Author(s):

Cobi J Landsberg, DMD Cobi J Landsberg, DMD
Dr. Cobi Landsberg graduated from the Faculty of Dental Medicine, the Hebrew University and Hadassah, Jerusalem , in 1977. In 1984 he graduated from specialized study i...
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Ofer Sarne, DMD Ofer Sarne, DMD
Dr. Ofer Sarne graduated from the Faculty of Dental Medicine, the Hebrew University and Hadassah, Jerusalem, in 1989. In 1993 he graduated the specialty program in Orth...
[read more]




Online Videos / Orthodontics / Adult Orthodontic / Sequencing of Periodontal Procedures and Orthodontic Treatment




Questions & Comments
Albine Miciano-Wiersema - (5/19/2016 11:56 AM)

Bravo! Helps me more for my treatment planning. Thank you!!

Maurice Salama - (2/14/2016 7:27 PM)

This is just great treatment collaboration. Well done!

Dr. Ankit Desai - (9/1/2014 12:32 AM)

Thank you for the wonderful presentation. I have few doubts.. 1) Sometimes we have seen that by doing ortho first, we can convert the horizontal defects into vertical defects and those are easy to regenerate. 2)Also in the presented cases we can expect tooth movement because of the true regeneration (use of Enamel Matrix Derivation) but Emdogain is not available in India. And when we use only bone grafts, because of lack of PDL & true regeneration, we can not expect the tooth movement. In such situations should we follow the same sequence? Thank you!

Dorian Hatchuel - (8/15/2014 5:51 AM)

A well presented inspiring case. Thankyou!

Maria Fernandez - (7/15/2014 5:24 PM)

It´s an interesting and prevalent case, we enjoy your treatment and we are management your propose in our cases. Dra. Maria josé fernández Chile´s periodontist Dra. Paulina Toledo Chile´s orthodontics.

Henriette Lerner - (5/12/2014 12:54 AM)

Thank You!

Henriette Lerner - (5/12/2014 12:53 AM)

Great:)))

Tomohiro Ishikawa - (3/25/2014 9:23 AM)

Thank you very much for your response.

cobi landsberg - (3/19/2014 4:52 PM)

Thank you Dr Ishikawa. My fear in deep pockets is that i probably can't be better than Waerhaug or Lovdal or Rabanni and Lindhe and others in cleaning the roots effectively...(: and if i move those teeth orthodontically i might end up with actually deeper and wider defects. So I prefer cleaning the roots first during surgery + regeneration, and only than do the intrusion. I think when the teeth are migrated with large spaces between them--it is actually the best time to handle the tissues because you need much inter proximal tissue to ensure good coverage of the bone graft. And if you intrude the tooth before surgery ... it goes together with narrowing the IP spaces.... I hope i explained myself ok...(:

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