Published online Feb 26, 2021. doi: 10.12998/wjcc.v9.i6.1367
Peer-review started: September 22, 2020
First decision: December 3, 2020
Revised: December 15, 2020
Accepted: December 26, 2020
Article in press: December 26, 2020
Published online: February 26, 2021
In the clinical scenario, adult patients with periodontal diseases and dental malformation, characterized by dental crowding in lower anterior teeth with the thin biotype, often require orthodontic treatment. This case report aimed to evaluate the clinical and radiographic outcomes of periodontally accelerated osteogenic orthodontics (PAOO) combined with autologous platelet-rich fibrin (PRF) in an adult patient with class I malocclusion along with dental crowding, a thin periodontal biotype, and buccal plate deficiency.
A 32-year-old female complaining of dental crowding and gingival bleeding was referred to the orthodontic clinic. The patient underwent periodontal risk assessment prior to orthodontic treatment. She was diagnosed with a high risk of gingival recession due to dental crowding, root prominence, loss of buccal plates, and a thin gingival tissue biotype. The treatment regimen included PAOO combined with autologous PRF for alveolar augmentation and interproximal enamel reduction for moderate dental crowding. Clinically, PAOO-assisted orthodontic tooth movement in this case showed enhanced periodontium remodeling. Radiographic outcomes also showed statistically significant improvements (P < 0.01) in the mandibular buccal alveolar bone.
This case report suggests the combination of autologous PRF with PAOO to enhance bone augmentation and long-term tissue support in adult orthodontic patients with periodontal disease.
Core Tip: Periodontally accelerated osteogenic orthodontics (PAOO) has been widely used in the treatment of patients with periodontal diseases and dental malformation. However, the combined therapy with autologous platelet-rich fibrin and PAOO in orthodontic practice has been rarely reported. The aim of this case report was to evaluate clinical and radiographic outcomes of PAOO combined with autologous platelet-rich fibrin in an adult patient with class I malocclusion with thin periodontal biotype and buccal plate deficiency in order to provide guidance for future clinical diagnosis and treatment.