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Case Reports
. 2024 Feb 5:5:1353114.
doi: 10.3389/fdmed.2024.1353114. eCollection 2024.

Digital orthodontic setup and clear aligners system for treating adult patients with periodontitis: a descriptive case report

Vincenzo Ronsivalle  1 , Claudia Malara  2 , Marco Cicciù  1 , Piero Venezia  2 , Antonino Lo Giudice  2
Affiliations
Case Reports

Digital orthodontic setup and clear aligners system for treating adult patients with periodontitis: a descriptive case report

Vincenzo Ronsivalle et al. Front Dent Med. .

Abstract

This case report describes the treatment of an adult female patient with a history of periodontitis (Stage 3 -Grade B) and presenting significant crowding in both maxillary and mandibular arches. After periodontal stabilization, the patient underwent orthodontic treatment with clear aligners (CAT) for less than one year. CAT provided an effective quantitative and qualitative control of the forces applied to resolve the malocclusion. This case report provides a detailed description of the clinical strategy and features associated with the clear aligners system which were considered ideal tools for treating periodontal patients during the decisional workflow. The orthodontic treatment goals have been successfully achieved considering functional, periodontal, and aesthetic expectations. Several characteristics of clear aligners could support the recurrence of this orthodontic system for treating patients with a history of periodontitis or at risk of periodontal damage.

Keywords: CAT; clear aligners; digital orthodontic; digital setup; orthodontic treatment; periodontitis.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Pre-treatment extraoral and intraoral photographs: frontal view with lips at rest (A) frontal view with smile (B) ¾ view (C) right profile view (D) upper occlusal view (E) lower occlusal view (F) right Side view (G) frontal view (H) left side view (I).
Figure 2
Figure 2
Initial panoramic radiographs (A) initial latero-lateral teleradiography (B) final panoramic radiographs (C) final latero-lateral teleradiography (D) pre-treatment cephalometric tracing (E) post-treatment cephalometric tracing (F) cephalometric superimposition between pre-treatment (black) and post-treatment (green) cephalograms (G).
Figure 3
Figure 3
Orthodontic setup approved in the clinCheck software: baseline models (A) and final virtual occlusion (B).
Figure 4
Figure 4
Post-treatment extraoral and intraoral photographs: right profile view (A) frontal view with lips at rest (B) frontal view with smile (C) ¾ view (D) upper occlusal view (E) lower occlusal view (F) right Side view (G) frontal view (H) left side view (I).
See this image and copyright information in PMC

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