Orthodontic considerations and timing selection for patients with stage Ⅳ periodontitis
10.13591/j.cnki.kqyx.2025.01.005
- VernacularTitle:Ⅳ期牙周炎患者的正畸考量和时机选择
- Author:
Yan PENG
1
;
Chi ZHANG
;
Li GAO
;
Xiting LI
;
Chuanjiang ZHAO
Author Information
1. 中山大学附属口腔医院、光华口腔医学院牙周病科,广东省口腔疾病临床医学研究中心,广东 广州(510055)
- Keywords:
stage Ⅳ periodontitis;
combined periodontal and orthodontic therapy;
orthodontic considerations and timing selection
- From:
STOMATOLOGY
2025;45(1):25-36
- CountryChina
- Language:Chinese
-
Abstract:
Patients suffering from stage Ⅳ periodontitis manifest substantial alveolar bone destruction and pronounced tooth loss,fre-quently accompanied by masticatory dysfunction,occlusal disorder and tooth displacement or torsion.Standard periodontal interventions alone are insufficient to stabilize the condition,address masticatory dysfunction,and enhance patients'quality of life.Hence,intricate reconstructive and interdisciplinary regimens,encompassing orthodontic treatment,are often indispensable.Orthodontic therapy can op-timize the masticatory function and esthetic appearance of patients,and promote periodontal well-being.However,individuals with stageⅣ periodontitis present with inadequate periodontal support tissue and a heightened risk profile,rendering their orthodontic management a considerable clinical challenge.This article reviews the orthodontic considerations and optimal timing for intervention in patients with stage Ⅳ periodontitis and presents a representative case of combined periodontal-orthodontic-orthognathic treatment for pe-riodontitis(stage Ⅳ,grade C),in order to provide reference for periodontists and orthodontists.
