Combined Orthodontic and Periodontal Management in a case of Severe Maxillary Protrusion and Generalized Aggressive Periodontitis: A Case Report

Abstract

The study reports the case of a 24-year-old Moroccan female who presented in the dental institution with aggressive periodontitis and associated severe bimaxillary dento-alveolar protrusion. Her face was convex, with a closed naso-labial angle; the lips were protruded with an everted lower lip. A mentalis strain and a skeletal class II malocclusion were also present. Before orthodontic treatment, the gingival inflammation was treated through continuous professional debridement, including scaling, root planning, and operation flap. Based on the loss of supporting periodontal tissues, continuous supportive periodontal treatment was needed to successfully keep the periodontal tissues healthy during orthodontic treatment. After the overall treatment, not only did the patient's aesthetics improve dramatically with the decrease in the biprotrusion, but the periodontal support also got better.