PMC5831828_01
Pre-orthodontic treatment facial (a) and intraoral photographs (b) and dental casts (c) are shown.
CRID2018-3876297.001.jpg
PMC5831828_06_CRID2018-3876297.001.jpg
fig1
Dental findings showed slight elongation of the maxillary and mandibular molars, and the angles of the tooth axis inclinations of the maxillary front teeth had lessened (Figures 2 and 7, Table 1).
Pre-orthodontic treatment cephalograms (a) and panoramic radiograph (b) are shown.
CRID2018-3876297.002.jpg
PMC5831828_06_CRID2018-3876297.002.jpg
fig2
Dental findings showed slight elongation of the maxillary and mandibular molars, and the angles of the tooth axis inclinations of the maxillary front teeth had lessened (Figures 2 and 7, Table 1).
PMC5831828_02
Pre-orthodontic treatment facial (a) and intraoral photographs (b) and dental casts (c) are shown.
CRID2018-3876297.001.jpg
PMC5831828_06_CRID2018-3876297.001.jpg
fig1
Dental findings showed slight elongation of the maxillary and mandibular molars, and the angles of the tooth axis inclinations of the maxillary front teeth had lessened (Figures 2 and 7, Table 1).
Pre-orthodontic treatment cephalograms (a) and panoramic radiograph (b) are shown.
CRID2018-3876297.002.jpg
PMC5831828_06_CRID2018-3876297.002.jpg
fig2
Dental findings showed slight elongation of the maxillary and mandibular molars, and the angles of the tooth axis inclinations of the maxillary front teeth had lessened (Figures 2 and 7, Table 1).
Pre-orthodontic treatment dental radiographs (a) and periodontal examinations (b) are shown. The red color indicates bleeding on probing.
CRID2018-3876297.003.jpg
PMC5831828_02_CRID2018-3876297.003.jpg
fig3
The radiographic findings indicated vertical bone resorption in the mesial portions of the right maxillary and mandibular first molars, and the maxillary and mandibular front teeth showed high-grade bone resorption (Figures 2 and 3). Bleeding on probing was observed (Figure 3). There was also moderate loss of the mesial interdental papilla in the gingival recession area of the bilateral maxillary lateral incisors (Figures 1 and 3). These locations generally correlated with the locations of the patient's symptoms of periodontal disease according to the periodontal disease chart (Figure 3).
Brux Checker findings. (a) Before orthodontic treatment, (b) just before removal of the orthodontic appliance, and (c) at 2 years after retention.
CRID2018-3876297.004.jpg
PMC5831828_06_CRID2018-3876297.004.jpg
fig4
The BC findings after completion of treatment indicated weakening of the strong functional contact that was present in the right maxillary lateral dentition and front teeth (Figures 4 and 4).
PMC5831828_03
PMC5831828_04
The periodontal examinations after periodontal treatment are shown. The red color indicates bleeding on probing.
CRID2018-3876297.005.jpg
PMC5831828_06_CRID2018-3876297.005.jpg
fig5
PMC5831828_05
Brux Checker findings. (a) Before orthodontic treatment, (b) just before removal of the orthodontic appliance, and (c) at 2 years after retention.
CRID2018-3876297.004.jpg
PMC5831828_06_CRID2018-3876297.004.jpg
fig4
The BC findings after completion of treatment indicated weakening of the strong functional contact that was present in the right maxillary lateral dentition and front teeth (Figures 4 and 4).
Post-orthodontic treatment facial (a) and intraoral photographs (b) and dental casts (c) are shown.
CRID2018-3876297.006.jpg
PMC5831828_06_CRID2018-3876297.006.jpg
fig6
Post-orthodontic treatment cephalograms (a) and panoramic radiograph (b) are shown.
CRID2018-3876297.007.jpg
PMC5831828_06_CRID2018-3876297.007.jpg
fig7
Dental findings showed slight elongation of the maxillary and mandibular molars, and the angles of the tooth axis inclinations of the maxillary front teeth had lessened (Figures 2 and 7, Table 1).
Post-orthodontic treatment dental radiographs (a) and periodontal examinations (b) are shown. The red color indicates bleeding on probing.
CRID2018-3876297.008.jpg
PMC5831828_06_CRID2018-3876297.008.jpg
fig8
Postretention facial (a) and intraoral photographs (b) and dental casts (c) are shown.
CRID2018-3876297.009.jpg
PMC5831828_06_CRID2018-3876297.009.jpg
fig9
A post-retention cephalograms (a) and panoramic radiographs (b) are shown.
CRID2018-3876297.010.jpg
PMC5831828_05_CRID2018-3876297.010.jpg
fig10
Two years after starting use of the retainers (Figures 9-11), the BC assessment was performed again, and the periodontal disease was reexamined (Figures 11 and 4).
Post-retention dental radiographs (a) and periodontal examinations (b) are shown. The red color indicates bleeding on probing.
CRID2018-3876297.011.jpg
PMC5831828_05_CRID2018-3876297.011.jpg
fig11
Two years after starting use of the retainers (Figures 9-11), the BC assessment was performed again, and the periodontal disease was reexamined (Figures 11 and 4).
Frontal views of intraoral photographs are shown. (a) Before orthodontic treatment, (b) after orthodontic treatment, (c) at 6 months after periodontal surgical treatment, and (d) at 1 year 5 months after periodontal surgical treatment.
CRID2018-3876297.012.jpg
PMC5831828_06_CRID2018-3876297.012.jpg
fig12
Seventeen months after surgery, the patient had improved oral hygiene, had acquired esthetically good periodontal tissue, had stable functional occlusion, and was satisfied with the outcome (Figure 12).
PMC5831828_06
Pre-orthodontic treatment facial (a) and intraoral photographs (b) and dental casts (c) are shown.
CRID2018-3876297.001.jpg
PMC5831828_06_CRID2018-3876297.001.jpg
fig1
Dental findings showed slight elongation of the maxillary and mandibular molars, and the angles of the tooth axis inclinations of the maxillary front teeth had lessened (Figures 2 and 7, Table 1).
Pre-orthodontic treatment cephalograms (a) and panoramic radiograph (b) are shown.
CRID2018-3876297.002.jpg
PMC5831828_06_CRID2018-3876297.002.jpg
fig2
Dental findings showed slight elongation of the maxillary and mandibular molars, and the angles of the tooth axis inclinations of the maxillary front teeth had lessened (Figures 2 and 7, Table 1).
Brux Checker findings. (a) Before orthodontic treatment, (b) just before removal of the orthodontic appliance, and (c) at 2 years after retention.
CRID2018-3876297.004.jpg
PMC5831828_06_CRID2018-3876297.004.jpg
fig4
The BC findings after completion of treatment indicated weakening of the strong functional contact that was present in the right maxillary lateral dentition and front teeth (Figures 4 and 4).
The periodontal examinations after periodontal treatment are shown. The red color indicates bleeding on probing.
CRID2018-3876297.005.jpg
PMC5831828_06_CRID2018-3876297.005.jpg
fig5
Post-orthodontic treatment facial (a) and intraoral photographs (b) and dental casts (c) are shown.
CRID2018-3876297.006.jpg
PMC5831828_06_CRID2018-3876297.006.jpg
fig6
Post-orthodontic treatment cephalograms (a) and panoramic radiograph (b) are shown.
CRID2018-3876297.007.jpg
PMC5831828_06_CRID2018-3876297.007.jpg
fig7
Dental findings showed slight elongation of the maxillary and mandibular molars, and the angles of the tooth axis inclinations of the maxillary front teeth had lessened (Figures 2 and 7, Table 1).
Post-orthodontic treatment dental radiographs (a) and periodontal examinations (b) are shown. The red color indicates bleeding on probing.
CRID2018-3876297.008.jpg
PMC5831828_06_CRID2018-3876297.008.jpg
fig8
Postretention facial (a) and intraoral photographs (b) and dental casts (c) are shown.
CRID2018-3876297.009.jpg
PMC5831828_06_CRID2018-3876297.009.jpg
fig9
Frontal views of intraoral photographs are shown. (a) Before orthodontic treatment, (b) after orthodontic treatment, (c) at 6 months after periodontal surgical treatment, and (d) at 1 year 5 months after periodontal surgical treatment.
CRID2018-3876297.012.jpg
PMC5831828_06_CRID2018-3876297.012.jpg
fig12
Seventeen months after surgery, the patient had improved oral hygiene, had acquired esthetically good periodontal tissue, had stable functional occlusion, and was satisfied with the outcome (Figure 12).
A superimposed cephalometric tracing is shown. (a) From pre-orthodontic treatment to post-orthodontic treatment; (b) from post-orthodontic treatment to postretention.
CRID2018-3876297.013.jpg
PMC5831828_06_CRID2018-3876297.013.jpg
fig13
In the cephalometric superimposition (Figure 13), the mandible was slightly rotated clockwise, and the patient's profile was virtually unchanged.