Importance of Maintenance of Oral Hyginene to Achieve Effective and Efficient Orthodontic Treatment Results- A Case Report on Ortho-Perio Interdisciplinary Relationship
Article Details
This case report evaluates management of a patient with class II skeletal pattern with Class I molar relationship and class II division 2 incisor relationship. The case required extraction of 1st premolars for correction of the crowding and proclination. Clinical and cephalometric evaluation revealed skeletal Class II malocclusion with crowding and a convex facial profile, an average to horizontal growth pattern, incompetent lips, a posterior divergent face, increased overjet and overbite. Following fixed orthodontic treatment by removal of 1st premolars in the upper and lower arch with retraction of anterior segment, a marked improvement in patient's smile, facial profile and occlusion was achieved and there was a remarkable increase in the patient's confidence and quality of life. The profile changes and treatment results were demonstrated with proper case selection and good patient cooperation with fixed appliance therapy. While patient was undergoing orthodontic treatment according to the treatment plan, generalized gingival overgrowth was seen because of extremely poor oral hygiene. Surgical intervention was done to contour gingiva and to remove all the infected tissue. Poor oral hygiene lead to bone loss and irreversible gingival recession.
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