Marius Maris, Maria-Alexandra Martu, Ioana-Andreea Sioustis, Mihaela Maris, Giorgio Nichitean, Ionut Luchian
As a result of periodontal pathology, spontaneous migration of teeth can be observed. This can cause a traumatic occlusion: such a situation is aggravated by the worsening of the periodontal conditions. Dental migration can progress even in the presence of periodontal treatment. Even the loss of one or more dental elements can favor a spontaneous migration, thus causing a malocclusion.
The indications for orthodontic therapy in adult subjects are mainly represented by the presence of mobility and protrusion of the anterior teeth with diastema. Orthodontic treatment performed on the adult, compared to the one performed on the child, requires in particular the collaboration with other specialists, including periodontist, gnathologist, surgeon and prosthetist.
Improper orthodontic treatment performed on patients with periodontal disease leads to the accentuation of periodontal tissue damage. In particular the association between inflammation, orthodontic forces and occlusal trauma can produce much faster destruction than if they would be produced only by inflammation. In any case, with proper treatment, extended orthodontic tooth movement can be performed on adults with healthy but reduced periodontium without promoting periodontal damage.