Combined orthodontic-periodontal treatment in patients with treated and controlled aggressive periodontitis


  • Juan Fernando Aristizábal Universidad del Valle
  • Rosana Martínez-Smit Universidad CES



Orthodontics, Periodontics, Aggressive periodontitis


Accurate diagnosis of aggressive periodontitis (AP) requires taking into account information obtained from the interview with the patient and from clinical periodontal examination, radiographic evaluation, and laboratory tests when needed. AP treatment is aimed at reducing or eliminating triggering agents, managing risk factors, and correcting effects on periodontal tissues. Before starting orthodontic treatment in an AP patient, it is necessary to perform a detailed evaluation by both specialties. This article describes a combined periodontal-orthodontic therapy in four young patients with localized aggressive periodontitis (LAP) and generalized aggressive periodontitis (GAP). A complete periodontal treatment was first conducted. After completely reducing inflammation and stabilizing the periodontium, the clinicians started the orthodontic treatment by using moderate forces along with periodontal monitoring, thus reaching the aesthetic and functional objectives set when treatment started.

= 773 veces | PDF (ESPAÑOL (ESPAÑA))
= 578 veces|


Download data is not yet available.

Author Biographies

Juan Fernando Aristizábal, Universidad del Valle

Professor and head of the Orthodontics Graduate Program. Universidad del Valle, Cali, Colombia

Rosana Martínez-Smit, Universidad CES

Professor, Orthodontics Graduate Program. Universidad CES, Medellín, Colombia


Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol 1999; 4(1): 1-6.

Hart TC, Marazita ML, Schenkein HA, Brooks CN, Gunsolley JG, Diehl SR. No female preponderance in juvenile periodontitis after correction for ascertainment bias. J Periodontol 1991; 62:745-749.

Sutton PR, Graze HR. The blood-vessel thrust theory of tooth eruption and migration. Med Hypotheses 1985; 18(3): 289-295.

Towfighi PP, Brunsvold MA, Storey AT, Arnold RM, Willman DE, McMahan CA. Pathologic migration of anterior teeth in patients with moderate to severe periodontitis. J Periodontol 1997; 68(10): 967-972.

Martinez-Canut P, Carrasquer A, Magán R, Lorca A. A study on factors associated with pathologic tooth migration. J Clin Periodontol 1997; 24(7): 492-497.

Ong MA, Wang HL, Smith FN. Interrelationship between periodontics and adult orthodontics. J Clin Periodontol 1998; 25(4): 271-277.

Re S, Corrente G, Abundo R, Cardaropoli D. Orthodontic treatment in periodontally compromised patients: 12-year report. Int J Periodontics Restorative Dent 2000; 20: 31-39.

Feng X, Oba T, Oba Y, Moriyama K. An interdisciplinary approach for improved functional and esthetic results in a periodontally compromised adult patient. Angle Orthod 2005; 75(6): 1061-1070.

Gomes SC, Varela CC, da Veiga SL, Rösing CK, Oppermann RV. Periodontal conditions in subjects following orthodontic therapy. A preliminary study. Eur J Orthod 2007; 29(5): 477-481.

Closs LQ, Grehs B, Raveli DB, Rosing CK. Occurrence, extension, and severity of gingival margin alterations after orthodontic treatment. World J Orthod 2008; 9(3): e1-e6.

Braun S, Winzler J, Johnson BE. An analysis of orthodontic force systems applied to the dentition with diminished alveolar support. Eur J Orthod 1993; 15(1): 73-77.

Mavreas D. Self-ligation and the periodontally compromised patient: a different perspective. Semin Orthod 2008; 14: 36-45.

Fukunaga T, Kuroda S, Kurosaka H, Takano-Yamamoto T. Skeletal anchorage for orthodontic correction of maxillary protrusion with adult periodontitis. Angle Orthod 2006; 76 (1): 148-155.

Cardaropoli D, Gaveglio L. The influence of orthodontic movement on periodontal tissues level. Semin Orthod 2007; 13(4): 234-245.

McLain JB, Proffit WR, Davenport RH. Adjunctive orthodontic therapy in the treatment of juvenile periodontitis: report of a case and review of the literature. Am J Orthod 1983; 83(4): 290-298.

Compton DW, Claiborne WJ, Hutchens LH Jr. Combined periodontal, orthodontic and fixed prosthetic treatment of juvenile periodontitis: a case report. Int J Periodontics Restorative Dent 1983; 3(4): 20-33.

Castellanos L, Machuca G, Mendoza A, Iglesias A, Soto L, Solano E. Integrated periodontal, orthodontic and prosthodontics treatment in a case of severe aggressive periodontitis. Quintessence Int 2013; 44(7): 481-485.

Levin L, Einy S, Zigdon H, Aixenbud D, Machtei EE. Guidelines for periodontal care and follow-up during orthodontic treatment in adolescents and young adults. J Appl Oral Sci 2012; 20(4): 399-403.

Mathews DP, Kokich VG. Managing treatment for the orthodontic patient with periodontal problems. Semin Orthod 1997; 3(1): 21-38.

Boyd RL, Leggott PJ, Quinn RS, Eakle WS, Chambers D. Periodontal implications of orthodontic treatment in adults with reduced or normal periodontal tissues versus those of adolescents. Am J Orthod Dentofacial Orthop 1989; 96(3): 191-198.

Tomita S, Komiyaito A, Imamura K, Kita D, Ota K, Takayama S et al. Prevalence of Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis and Tannerella forsythia in Japanese patients with generalized chronic and aggressive periodontitis. Microb Pathog 2013; 61-62: 11-15.

Re S, Corrente G, Abundo R, Cardaropoli D. Orthodontic movement into bone defects augmented with bovine bone mineral and fibrin sealer: a reentry case report. Int J Periodontics Restorative Dent 2002; 22(2): 138-145.

Melsen B, Agerbaek N, Eriksen J, Terp S. New attachment through periodontal treatment and orthodontic intrusion. Am J Orthod Dentofacial Orthop 1988; 94(2): 104-116.

Melsen B, Agerbaek N, Markenstam G. Intrusion of incisors in adult patients with marginal bone loss. Am J Orthod Dentofacial Orthop 1989; 96(3): 232-241.

Corrente G, Abundo R, Re S, Cardaropoli D, Cardaropoli G. Orthodontic movement into infrabony defects in patients with advanced periodontal disease: a clinical and radiological study. J Periodontol 2003; 74(8): 1104-1109.



How to Cite

Aristizábal, J. F., & Martínez-Smit, R. (2014). Combined orthodontic-periodontal treatment in patients with treated and controlled aggressive periodontitis. Revista Facultad De Odontología Universidad De Antioquia, 26(1), 180–204.

Most read articles by the same author(s)

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.