PATHOLOGIC TOOTH MIGRATION AND ATYPICAL SWALLOWING IN PERIODONTAL PATIENTS: A NEW APPROACH WITH ELASTODONTIC THERAPY – CLINICAL SERIES

G. Iuorio¹, M.T. Iuorio¹, A.M. Iuorio¹, A. Jamilian², K. Ferati³, A. Palermo⁴, A. Mancini⁵, R.P. Rotolo⁶ and R. Migliaccio¹

¹Private practice, Aversa, Italy;
²City of London Dental School, University of Bolton, London, UK;
³Faculty of Medicine, University of Tetovo, Tetovo, Macedonia;
⁴College of Medicine and Dentistry, Birmingham, UK;
⁵Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, Bari, Italy;
⁶Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy

Correspondence to:
Rossana Patricia Rotolo, DDS
Multidisciplinary Department of Medical-Surgical and Dental Specialties,
University of Campania Luigi Vanvitelli,
Naples, Italy

Received: 18 August 2021 Accepted: 04 November 2021 Biolife-Publisher.it © 2021

ISSN: 2038-4106 This publication and/or article is for individual use only and may not be further reproduced without written permission from the copyright holder. Unauthorized reproduction may result in financial and other penalties. Disclosure: All authors report no conflicts of interest relevant to this article.

ABSTRACT

Several publications describe the possibility and limits of orthodontic treatment in periodontal patients to achieve good occlusion. Pathologic tooth migration (PTM) is a change in tooth position that occurs when a disruption of forces maintains teeth in a normal relationship. PTM can result in severe dental disfiguration and compromise a patient’s self-esteem. In order to correct this pathologic and unaesthetic condition, different orthodontic appliances are described in the literature. Among them, elastodontic devices have been recently proposed with good results in terms of patient compliance and treatment efficacy. The aim of this work is to evaluate the use of elastodontic devices for PTM correction in a series of periodontally compromised patients. The reported cases demonstrated that elastodontic treatment could support and complete periodontal therapy with an occlusal stabilization activity, especially in cases characterized by occlusal trauma. This additional therapy stabilized teeth movement recovery a harmonic occlusion, recovery an acceptable aesthetics, and corrected altered muscle functions such as atypical swallowing. Further studies are needed to investigate these innovative therapeutic procedures better.

KEYWORDS: periodontitis, malocclusion, tooth, migration, device