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Citation Information : Australasian Orthodontic Journal. Volume 35, Issue 2, Pages 184-194, DOI: https://doi.org/10.21307/aoj-2020-048
License : (CC BY 4.0)
Published Online: 20-July-2021
Introduction: The present systematic review aimed to assess the evidence related to the periodontal benefits of orthodontic treatment of pathologically migrated teeth in combination with periodontal therapy with or without a regenerative procedure.
Methods: Electronic databases (PubMed, Embase and Cochrane) were searched up to March 21, 2019. Selection criteria included human studies in which pathologically migrated maxillary teeth were repositioned with orthodontic fixed appliances after periodontal therapy. Clinical trials not reporting a quantitative measurement of clinical attachment gain were excluded.
Results: The search strategy identified 90 relevant articles. After selection according to the inclusion/exclusion criteria, 15 articles qualified for the final analysis of which five were clinical trials and 10 were case series or reports. Five studies could be classified as providing a moderate level of evidence (33%), while 10 were classified as low levels of evidence (67%). None of the studies were classified as providing a high-level of evidence.
Conclusions: Based on the limited available evidence, orthodontic treatment had a fundamental role in the resolution of anterior pathologic tooth migration. Gains were seen in clinical attachment levels with accompanying improved aesthetic and functional final results. However, it was not possible to make any recommendations regarding the use of a specific regenerative procedure to improve the clinical results obtained by a combination of periodontal and orthodontic therapies. The most recurrent sources of bias were the absence of a control group and limited adequate examinations before and after treatment.
1. Chasens AI. Periodontal disease, pathologic tooth migration and adult orthodontics. N Y J Dent 1979;49:40-3.
2. Brunsvold MA. Pathologic tooth migration. J Periodontol 2005;76:859-66.
3. Gaumet PE, Brunsvold MI, McMahan CA. Spontaneous repositioning of pathologically migrated teeth. J Periodontol 1999;70:1177-84.
4. Serio FG, Hawley CE. Periodontal trauma and mobility. Diagnosis and treatment planning. Dent Clin North Am 1999;43:37-44.
5. Melsen B, Agerbaek N, Markenstam G. Intrusion of incisors in adult patients with marginal bone loss. Am J Orthod Dentofacial Orthop 1989;96:232-41.
6. Cardaropoli D, Gaveglio L, Abou-Arraj RV. Orthodontic movement and periodontal bone defects: Rationale, timing, and clinical implications. Semin Orthod 2014;20:177-87.
7. Kettenbeil A, Reimann S, Reichert C, Keilig L, Jäger A, Bourauel C. Numerical simulation and biomechanical analysis of an orthodontically treated periodontally damaged dentition. J Orofac Orthop 2013;74:480-93.
8. Papapanou PN, Wennström JL. The angular bony defect as indicator of further alveolar bone loss. J Clin Periodontol 1991;18:317-22.
9. Cardaropoli D, Re S, Corrente G, Abundo R. Reconstruction of the maxillary midline papilla following a combined orthodonticperiodontic treatment in adult periodontal patients. J Clin Periodontol 2004;31:79-84.
10. Cardaropoli D, Re S, Corrente G, Abundo R. Intrusion of migrated incisors with infrabony defects in adult periodontal patients. Am J Orthod Dentofacial Orthop 2001;120:671-5; quiz 677.
11. Cirelli JA, Cirelli CC, Holzhausen M, Martins LP, Brandão CH. Combined periodontal, orthodontic, and restorative treatment of pathologic migration of anterior teeth: a case report. Int J Periodontics Restorative Dent 2006;26:501-6.
12. Modoni D, Modoni M, Verdino A, Deli R. Treatment of an isolated vertical infrabony defect with orthodontic intrusion. J Clin Orthod 2009;43:453-8.
13. Rabie AB, Deng YM, Jin LJ. Adjunctive orthodontic treatment of periodontally involved teeth: case reports. Quintessence Int 1998;29:13-9.
14. 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;22:138-45.
15. Re S, Corrente G, Abundo R, Cardaropoli D. Orthodontic treatment in periodontally compromised patients: 12-year report. Int J Periodontics Restorative Dent 2000;20:31-9.
16. Steffensen B, Storey AT. Orthodontic intrusive forces in the treatment of periodontally compromised incisors: A case report. Int J Periodontics Restorative Dent 1993;13:432-41.
17. Rotundo R, Bassarelli T, Pace E, Iachetti G, Mervelt J, Pini Prato G. Orthodontic treatment of periodontal defects. Part II: A systematic review on human and animal studies. Prog Orthod 2011;12:45-52.
18. Rotundo R, Nieri M, Iachetti G, Mervelt J, Cairo F, Baccetti T et al. Orthodontic treatment of periodontal defects. A systematic review. Prog Orthod 2010;11:41-4.
19. Savage A, Eaton KA, Moles DR, Needleman I. A systematic review of definitions of periodontitis and methods that have been used to identify this disease. J Clin Periodontol 2009;36:458-67.
20. Roscoe MG, Meira JB, Cattaneo PM. Association of orthodontic force system and root resorption: A systematic review. Am J Orthod Dentofacial Orthop 2015;147:610-26.
21. Viswanathan M, Ansari MT, Berkman ND, Chang S, Hartling L, McPheeters M et al. Assessing the Risk of Bias of Individual Studies in Systematic Reviews of Health Care Interventions. Methods Guide for Effectiveness and Comparative Effectiveness Reviews. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008.
22. Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol 2009;62:1006-12.
23. Geramy A. Initial stress produced in the periodontal membrane by orthodontic loads in the presence of varying loss of alveolar bone: a three-dimensional finite element analysis. Eur J Orthod 2002;24:21- 33.
24. Parker RJ, Harris EF. Directions of orthodontic tooth movements associated with external apical root resorption of the maxillary central incisor. Am J Orthod Dentofacial Orthop 1998;114:677-83.
25. Rudolph DJ, Willes PMG, Sameshima GT. A finite element model of apical force distribution from orthodontic tooth movement. Angle Orthod 2001;71:127-31.
26. Cardaropoli D, Re S, Manuzzi W, Gaveglio L, Cardaropoli G. Bio-Oss collagen and orthodontic movement for the treatment of infrabony defects in the esthetic zone. Int J Periodontics Restorative Dent 2006;26:553-9.
27. Fung K, Chandhoke TK, Uribe F, Schincaglia GP. Periodontal regeneration and orthodontic intrusion of a pathologically migrated central incisor adjacent to an infrabony defect. J Clin Orthod 2012;46:417-23; quiz 438.
28. Jepsen K, Jaeger A, Jepsen S. Esthetic and functional rehabilitation of a severely compromised central incisor: an interdisciplinary approach. Int J Periodontics Restorative Dent 2015;35:e35-43.
29. Re S, Corrente G, Abundo R, Cardaropoli D. The use of orthodontic intrusive movement to reduce infrabony pockets in adult periodontal patients: a case report. Int J Periodontics Restorative Dent 2002;22:365-71.
30. Jang I, Lee JK, Song GS, Choi DS, Yozgatian JH, Cha BK. Application of enamel matrix derivative and intrusive orthodontic movement in the treatment of vertical bony defects: A case report. Int J Periodontics Restorative Dent 2019;39:73-81.
31. Ghezzi C, Masiero S, Silvestri M, Zanotti G, Rasperini G. Orthodontic treatment of periodontally involved teeth after tissue regeneration. Int J Periodontics Restorative Dent 2008;28:559-67.
32. 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;74:1104-9.
33. Re S, Cardaropoli D, Abundo R, Corrente G. Reduction of gingival recession following orthodontic intrusion in periodontally compromised patients. Orthod Craniofac Res 2004;7:35-9.
34. Nemcovsky CE, Beny L, Shanberger S, Feldman-Herman S, Vardimon A. Bone apposition in surgical bony defects following orthodontic movement: a comparative histomorphometric study between root- and periodontal ligament-damaged and periodontally intact rat molars. J Periodontol 2004;75:1013-9.
35. Nemcovsky CE, Sasson M, Beny L, Weinreb M, Vardimon AD. Periodontal healing following orthodontic movement of rat molars with intact versus damaged periodontia towards a bony defect. Eur J Orthod 2007;29:338-44.
36. Cairo F, Pagliaro U. Regenerative therapies in the treatment of intrabony defects show high clinical efficacy. J Evid Based Dent Pract 2015;15:108-12.
37. Matarasso M, Iorio-Siciliano V, Blasi A, Ramaglia L, Salvi GE, Sculean A. Enamel matrix derivative and bone grafts for periodontal regeneration of intrabony defects. A systematic review and metaanalysis. Clin Oral Investig 2015;19:1581-93.
38. Xie Y, Zhao Q, Tan Z, Yang S. Orthodontic treatment in a periodontal patient with pathologic migration of anterior teeth. Am J Orthod Dentofacial Orthop 2014;145:685-93.
39. Nakatsu S, Yoshinaga Y, Kuramoto A, Nagano F, Ichimura I, Oshino K et al. Occlusal trauma accelerates attachment loss at the onset of experimental periodontitis in rats. J Periodontal Res 2014;49:314- 22.