Author/Authors :
Taira, Ayako Department of Dentistry Oral and Maxillofacial Surgery - Jichi Medical University, Yakushiji, Shimotsuke, Tochigi, Japan , Odawara, Shiho Department of Oral Science - Division of Orthodontics -Kanagawa Dental University, Kanagawa, Japan , Sugihara, Shuntaro Department of Oral Function and Restoration - Division of Periodontology - Kanagawa Dental University, Kanagawa, Japan , Sasaguri, Kenichi Department of Dentistry Oral and Maxillofacial Surgery - Jichi Medical University, Yakushiji, Shimotsuke, Tochigi, Japan
Abstract :
Comprehensive and appropriate occlusion reconstruction therapy is necessary for orthodontic treatment of adult patients with
malocclusion with periodontal disease associated with occlusal trauma. We report the case of a patient with extensive moderate
chronic periodontitis associated with occlusal trauma. ,e patient was diagnosed with extensive moderate chronic periodontitis
associated with occlusal trauma and underwent thorough treatment for periodontal disease, oral management, and 20 months of
orthodontic therapy. Moreover, reconstructed occlusion was performed to evaluate occlusal trauma for visualization using Brux
Checker (BC) analysis before and after active orthodontic treatment. ,e patient acquired stable anterior guidance and a functional
occlusal relationship. BC findings revealed weakening of the functional contact between the lateral occlusal force of the dentition and
the front teeth and alveolar bone regeneration. ,e laminar dura became clearer, and the periodontal tissue improved. Our results
suggest that assessment of occlusion function using BC analysis and periodontal examination was effective in enabling occlusal
treatment goal clarification through orthodontic treatment in case of periodontal disease associated with occlusal trauma.
