Spontaneous Repositioning of Pathologically Migrated Teeth
Background: There is limited clinical evidence that pathologically migrated teeth may reposition themselves after conventional periodontal treatment. The current research was carried out to determine the frequency of spontaneous repositioning of pathologically migrated teeth after routine periodonta...
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Veröffentlicht in: | Journal of periodontology (1970) 1999-10, Vol.70 (10), p.1177-1184 |
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description | Background: There is limited clinical evidence that pathologically migrated teeth may reposition themselves after conventional periodontal treatment. The current research was carried out to determine the frequency of spontaneous repositioning of pathologically migrated teeth after routine periodontal therapy, and to study the relation between the severity of migration and the degree of repositioning following treatment.
Methods: Sixteen patients with moderate to severe periodontal disease and presenting 33 diastema sites secondary to pathologic migration participated in this study. After conventional periodontal treatment had been performed, reactive repositioning was assessed by measuring the space between pathologically migrated teeth and adjacent teeth on study models obtained at baseline, re‐evaluation at 6 weeks after scaling and root planing, and 4 months after surgery.
Results: After scaling and root planing only, 48.5% of all sites exhibited some degree of repositioning with 36.4% of all sites closing completely. After surgery (6 months after baseline observations), 69.7% of all sites exhibited some degree of repositioning with 51.5% of all sites closing completely. When only small to moderate diastemata were considered ( |
doi_str_mv | 10.1902/jop.1999.70.10.1177 |
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Methods: Sixteen patients with moderate to severe periodontal disease and presenting 33 diastema sites secondary to pathologic migration participated in this study. After conventional periodontal treatment had been performed, reactive repositioning was assessed by measuring the space between pathologically migrated teeth and adjacent teeth on study models obtained at baseline, re‐evaluation at 6 weeks after scaling and root planing, and 4 months after surgery.
Results: After scaling and root planing only, 48.5% of all sites exhibited some degree of repositioning with 36.4% of all sites closing completely. After surgery (6 months after baseline observations), 69.7% of all sites exhibited some degree of repositioning with 51.5% of all sites closing completely. When only small to moderate diastemata were considered (<1 mm), 77.8% of sites closed completely.
Conclusions: The findings of this study support the hypothesis that spontaneous repositioning after conventional periodontal treatment is likely, particularly when only light to moderate degrees of pathologic migration are considered. We hypothesize that this spontaneous movement is due to wound contraction during healing. J Periodontol 1999;70:1177‐1184.</description><identifier>ISSN: 0022-3492</identifier><identifier>EISSN: 1943-3670</identifier><identifier>DOI: 10.1902/jop.1999.70.10.1177</identifier><identifier>PMID: 10534072</identifier><language>eng</language><publisher>737 N. Michigan Avenue, Suite 800, Chicago, IL 60611‐2690, USA: American Academy of Periodontology</publisher><subject>Adult ; Analysis of Variance ; Collagen ; Combined Modality Therapy ; Dentistry ; Diastema - therapy ; Female ; fibroblasts ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; periodontal diseases/therapy ; Periodontics - methods ; Periodontics - statistics & numerical data ; Remission, Spontaneous ; Time Factors ; tooth migration ; Tooth Migration - diagnosis ; Tooth Migration - therapy ; tooth movement ; wound healing</subject><ispartof>Journal of periodontology (1970), 1999-10, Vol.70 (10), p.1177-1184</ispartof><rights>1999 American Academy of Periodontology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4177-67324df9efacc30dda16b14631226c965e8233f7069afaaab779d834d6f25f7c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1902%2Fjop.1999.70.10.1177$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1902%2Fjop.1999.70.10.1177$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10534072$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gaumet, Pierre E.</creatorcontrib><creatorcontrib>Brunsvold, Michael I.</creatorcontrib><creatorcontrib>McMahan, C. Alex</creatorcontrib><title>Spontaneous Repositioning of Pathologically Migrated Teeth</title><title>Journal of periodontology (1970)</title><addtitle>J Periodontol</addtitle><description>Background: There is limited clinical evidence that pathologically migrated teeth may reposition themselves after conventional periodontal treatment. The current research was carried out to determine the frequency of spontaneous repositioning of pathologically migrated teeth after routine periodontal therapy, and to study the relation between the severity of migration and the degree of repositioning following treatment.
Methods: Sixteen patients with moderate to severe periodontal disease and presenting 33 diastema sites secondary to pathologic migration participated in this study. After conventional periodontal treatment had been performed, reactive repositioning was assessed by measuring the space between pathologically migrated teeth and adjacent teeth on study models obtained at baseline, re‐evaluation at 6 weeks after scaling and root planing, and 4 months after surgery.
Results: After scaling and root planing only, 48.5% of all sites exhibited some degree of repositioning with 36.4% of all sites closing completely. After surgery (6 months after baseline observations), 69.7% of all sites exhibited some degree of repositioning with 51.5% of all sites closing completely. When only small to moderate diastemata were considered (<1 mm), 77.8% of sites closed completely.
Conclusions: The findings of this study support the hypothesis that spontaneous repositioning after conventional periodontal treatment is likely, particularly when only light to moderate degrees of pathologic migration are considered. We hypothesize that this spontaneous movement is due to wound contraction during healing. J Periodontol 1999;70:1177‐1184.</description><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Collagen</subject><subject>Combined Modality Therapy</subject><subject>Dentistry</subject><subject>Diastema - therapy</subject><subject>Female</subject><subject>fibroblasts</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>periodontal diseases/therapy</subject><subject>Periodontics - methods</subject><subject>Periodontics - statistics & numerical data</subject><subject>Remission, Spontaneous</subject><subject>Time Factors</subject><subject>tooth migration</subject><subject>Tooth Migration - diagnosis</subject><subject>Tooth Migration - therapy</subject><subject>tooth movement</subject><subject>wound healing</subject><issn>0022-3492</issn><issn>1943-3670</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUE1PAjEUbIxGEP0FJmZP3hb7RUu9GYJfwUgQz03ptlBStut2CeHfW1gOHk1e8t6bzEwmA8Atgn0kIH5YhyodQvR5AtIgzs9AFwlKcsI4PAddCDHOCRW4A65iXKcXUQIvQQfBAaGQ4y54_KpC2ajShG3MZqYK0TUulK5cZsFmU9Wsgg9Lp5X3--zDLWvVmCKbG9OsrsGFVT6am9Puge_n8Xz0mk8-X95GT5Nc0xQpZ5xgWlhhrNKawKJQiC0QZQRhzLRgAzPEhFgOmVBWKbXgXBRDQgtm8cByTXrgvvWt6vCzNbGRGxe18b5NLZnAkFPOEpG0RF2HGGtjZVW7jar3EkF5qEymyuShMsnhEUv5kuruZL9dbEzxR9N2lAiiJeycN_v_eMr36Xh2NP8FtBh5aQ</recordid><startdate>199910</startdate><enddate>199910</enddate><creator>Gaumet, Pierre E.</creator><creator>Brunsvold, Michael I.</creator><creator>McMahan, C. Alex</creator><general>American Academy of Periodontology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199910</creationdate><title>Spontaneous Repositioning of Pathologically Migrated Teeth</title><author>Gaumet, Pierre E. ; Brunsvold, Michael I. ; McMahan, C. Alex</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4177-67324df9efacc30dda16b14631226c965e8233f7069afaaab779d834d6f25f7c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Analysis of Variance</topic><topic>Collagen</topic><topic>Combined Modality Therapy</topic><topic>Dentistry</topic><topic>Diastema - therapy</topic><topic>Female</topic><topic>fibroblasts</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>periodontal diseases/therapy</topic><topic>Periodontics - methods</topic><topic>Periodontics - statistics & numerical data</topic><topic>Remission, Spontaneous</topic><topic>Time Factors</topic><topic>tooth migration</topic><topic>Tooth Migration - diagnosis</topic><topic>Tooth Migration - therapy</topic><topic>tooth movement</topic><topic>wound healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gaumet, Pierre E.</creatorcontrib><creatorcontrib>Brunsvold, Michael I.</creatorcontrib><creatorcontrib>McMahan, C. Alex</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of periodontology (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gaumet, Pierre E.</au><au>Brunsvold, Michael I.</au><au>McMahan, C. Alex</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spontaneous Repositioning of Pathologically Migrated Teeth</atitle><jtitle>Journal of periodontology (1970)</jtitle><addtitle>J Periodontol</addtitle><date>1999-10</date><risdate>1999</risdate><volume>70</volume><issue>10</issue><spage>1177</spage><epage>1184</epage><pages>1177-1184</pages><issn>0022-3492</issn><eissn>1943-3670</eissn><abstract>Background: There is limited clinical evidence that pathologically migrated teeth may reposition themselves after conventional periodontal treatment. The current research was carried out to determine the frequency of spontaneous repositioning of pathologically migrated teeth after routine periodontal therapy, and to study the relation between the severity of migration and the degree of repositioning following treatment.
Methods: Sixteen patients with moderate to severe periodontal disease and presenting 33 diastema sites secondary to pathologic migration participated in this study. After conventional periodontal treatment had been performed, reactive repositioning was assessed by measuring the space between pathologically migrated teeth and adjacent teeth on study models obtained at baseline, re‐evaluation at 6 weeks after scaling and root planing, and 4 months after surgery.
Results: After scaling and root planing only, 48.5% of all sites exhibited some degree of repositioning with 36.4% of all sites closing completely. After surgery (6 months after baseline observations), 69.7% of all sites exhibited some degree of repositioning with 51.5% of all sites closing completely. When only small to moderate diastemata were considered (<1 mm), 77.8% of sites closed completely.
Conclusions: The findings of this study support the hypothesis that spontaneous repositioning after conventional periodontal treatment is likely, particularly when only light to moderate degrees of pathologic migration are considered. We hypothesize that this spontaneous movement is due to wound contraction during healing. J Periodontol 1999;70:1177‐1184.</abstract><cop>737 N. Michigan Avenue, Suite 800, Chicago, IL 60611‐2690, USA</cop><pub>American Academy of Periodontology</pub><pmid>10534072</pmid><doi>10.1902/jop.1999.70.10.1177</doi><tpages>8</tpages></addata></record> |
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subjects | Adult Analysis of Variance Collagen Combined Modality Therapy Dentistry Diastema - therapy Female fibroblasts Follow-Up Studies Humans Male Middle Aged periodontal diseases/therapy Periodontics - methods Periodontics - statistics & numerical data Remission, Spontaneous Time Factors tooth migration Tooth Migration - diagnosis Tooth Migration - therapy tooth movement wound healing |
title | Spontaneous Repositioning of Pathologically Migrated Teeth |
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