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Case Reports
. 2022 Feb 14:2022:8932770.
doi: 10.1155/2022/8932770. eCollection 2022.

Clear Aligner Treatments in Orthoperio Patients

Gianluca Mampieri  1 , Roberta Condò  1 , Giovanni Di Caccamo  2 , Paola Pirelli  1 , Aldo Giancotti  1
Affiliations
Case Reports

Clear Aligner Treatments in Orthoperio Patients

Gianluca Mampieri et al. Case Rep Dent. .

Abstract

Introduction: Orthodontic treatment is a recognized approach to support specific periodontal issues thanks to its capability to manipulate periodontal tissues. This concept is certainly not new, but the use of aligners in certain clinical conditions can be considered as being innovative when a multidisciplinary treatment is necessary. Moreover, aligners enable to plan 3D tooth movements, root placement, staging, and range of dental movements, alongside the improvement of oral hygiene. Thus, aligners can be suitable for the treatment of periodontal issues. In this article, the authors present two clinical cases with different periodontal issues: one with superficial periodontal problems and the other with a deep one. Both cases were successfully treated with aligners, highlighting how this invisible and comfortable tool can simplify the management of complex adult treatments.

Conclusion: Digital workflow is the key for success in the aligner technique. The possibility to design a virtual plan of treatment and to transfer it in the real clinical world represents a way to limit errors and to reduce the time of orthodontic therapy.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
(a–h) Initial clinical records.
Figure 2
Figure 2
Frontal view with altered gingival smile line; it's possible to note an excessive presence of gingiva in the lateral sectors.
Figure 3
Figure 3
(a, b) Initial radiographic records.
Figure 4
Figure 4
(a–e) Initial/final virtual superimposition of the first phase of aligners: 3.3 and 4.3 blocked to avoid any side effect on the surrounding periodontal tissues.
Figure 5
Figure 5
(a–e) Initial/final virtual superimposition of the second phase of aligners.
Figure 6
Figure 6
(a–e) Clinical condition at the end of phase I.
Figure 7
Figure 7
(a–e) Additional aligners with active elastic forces.
Figure 8
Figure 8
(a–h) End-of-treatment clinical observations.
Figure 9
Figure 9
(a–f) Pre-/posttreatment comparison of periodontal tissues.
Figure 10
Figure 10
(a, b) Final X-ray records.
Figure 11
Figure 11
Pre-/postsuperimposition.
Figure 12
Figure 12
(a–h) Initial clinical records.
Figure 13
Figure 13
(a–d) Initial radiographic records.
Figure 14
Figure 14
(a–d) Initial/final virtual superimposition with the visualization of slight transparency of the 2.1 root, for torque overcorrection.
Figure 15
Figure 15
(a–e) Final clinical records.
Figure 16
Figure 16
(a–d) Clinical and radiographic differences pre- and immediately postorthodontic treatment.
Figure 17
Figure 17
(a–m) Follow-up after 24 months.
Figure 18
Figure 18
Pre-/postsuperimposition.
See this image and copyright information in PMC

References

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    1. Rossini G., Parrini S., Castroflorio T., Deregibus A., Debernardi C. L. Periodontal health during clear aligners treatment: a systematic review. European Journal of Orthodontics . 2015;37(5):539–543. doi: 10.1093/ejo/cju083. - DOI - PubMed
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