Orthodontic Management of a Migrated Maxillary Central Incisor With a Secondary Occlusal Trauma

• Published in: Clinical advances in periodontics Vol. 10; no. 1; pp. 23 - 29
• Main Authors: Thierens, Laurent A.M., Van de Velde, Tommie, De Pauw, Guy A.M.
• Format: Journal Article
• Language: English
• Published: United States 01-03-2020
• Subjects: Chronic periodontitis; dental occlusion, traumatic; Dentistry; orthodontic appliances, fixed; orthodontic appliances, fixed; Chronic periodontitis; dental occlusion, traumatic
• ISSN: 2573-8046; 2163-0097
• DOI: 10.1002/cap.10070

Introduction
Normal or excessive occlusal forces exerted on teeth with a reduced periodontal support might result in a secondary occlusal trauma. This type of injury is diagnosed based on histological changes in the periodontium. Multiple clinical and radiographic indicators are, therefore, required as surrogates to assist the presumptive diagnosis of a (secondary) occlusal trauma.
Case Presentation
In this case report, the diagnosis, management, and the 1‐year follow‐up of a secondary occlusal trauma of a maxillary central incisor are described. The occlusal relationship was rehabilitated with fixed orthodontic appliances and was further stabilized with both fixed and removable retainers.
Conclusions
A combined periodontal‐orthodontic approach for a secondary occlusal trauma allows the rehabilitation of periodontal, occlusal, and esthetic parameters. Twelve months after the end of the active orthodontic treatment, a combination of fixed and removable retainers showed to be effective in retaining the treatment outcome.