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Effectiveness of Invisalign® aligners in the treatment of severe gingival recession: A case report

  • Received : 2020.10.15
  • Accepted : 2021.01.27
  • Published : 2021.07.25

Abstract

In this report, we demonstrate the effectiveness of the Invisalign® system in the treatment of severe gingival recession and bone dehiscence through torque, translation, and intrusion movements in a young woman. Cone-beam computed tomography was used to assess bone parameters and check the teeth during treatment. The root of the mandibular right central incisor, which was buccally positioned and exhibited bone dehiscence of 9.4 mm, was moved toward the center of the alveolar process by using the Invisalign® system and SmartForce® features. The patient was monitored by a periodontist throughout the orthodontic treatment period. Her gingival recession reduced, while the bone dehiscence reduced from 9.40 mm to 3.14 mm. Thus, movement of the root into the alveolus promoted bone neoformation and treated the gingival recession. The findings from this case suggest that orthodontic treatment using the Invisalign® system, along with periodontal monitoring, can aid in the treatment of gingival recession and alveolar defects.

Keywords

References

  1. Taffarel IP, Miyoshi CS, Maruo IT, Meira TM, Tanaka OM. The periodontal benefit of orthodontic tooth movement in a deep facial recession of a mandibular incisor. Case Rep Dent 2019;2019:7601475.
  2. Nahas-Scocate AC, de Siqueira Brandao A, Patel MP, Lipiec-Ximenez ME, Chilvarquer I, do Valle-Corotti KM. Bone tissue amount related to upper incisors inclination. Angle Orthod 2014;84:279-85. https://doi.org/10.2319/031213-211.1
  3. Renkema AM, Fudalej PS, Renkema A, Kiekens R, Katsaros C. Development of labial gingival recessions in orthodontically treated patients. Am J Orthod Dentofacial Orthop 2013;143:206-12. https://doi.org/10.1016/j.ajodo.2012.09.018
  4. Pithon MM. Spontaneous correction of accentuated retraction of maxillary central incisors after autogenous graft in midline, mesialization, and lingual torque of incisor roots. Int J Periodontics Restorative Dent 2018;38(Suppl):s67-77. https://doi.org/10.11607/prd.2637
  5. Christoph KM, Campbell PM, Feng JQ, Taylor RW, Jacob HB, Buschang PH. Effects of transverse bodily movements of maxillary premolars on the surrounding hard tissue. Am J Orthod Dentofacial Orthop 2020;157:490-502. https://doi.org/10.1016/j.ajodo.2018.11.022
  6. Morais JF, Melsen B, de Freitas KMS, Castello Branco N, Garib DG, Cattaneo PM. Evaluation of maxillary buccal alveolar bone before and after orthodontic alignment without extractions: a cone beam computed tomographic study. Angle Orthod 2018;88:748-56. https://doi.org/10.2319/101117-686.1
  7. Antoun JS, Mei L, Gibbs K, Farella M. Effect of orthodontic treatment on the periodontal tissues. Periodontol 2000 2017;74:140-57. https://doi.org/10.1111/prd.12194
  8. Machado AW, MacGinnis M, Damis L, Moon W. Spontaneous improvement of gingival recession after correction of tooth positioning. Am J Orthod Dentofacial Orthop 2014;145:828-35. https://doi.org/10.1016/j.ajodo.2013.05.012
  9. Matsumoto K, Sherrill-Mix S, Boucher N, Tanna N. A cone-beam computed tomographic evaluation of alveolar bone dimensional changes and the periodontal limits of mandibular incisor advancement in skeletal Class II patients. Angle Orthod 2020;90:330-8. https://doi.org/10.2319/080219-510.1
  10. Sendyk M, Linhares DS, Pannuti CM, Paiva JB, Rino Neto J. Effect of orthodontic treatment on alveolar bone thickness in adults: a systematic review. Dental Press J Orthod 2019;24:34-45. https://doi.org/10.1590/2177-6709.24.4.034-045.oar
  11. Wang CW, Yu SH, Mandelaris GA, Wang HL. Is periodontal phenotype modification therapy beneficial for patients receiving orthodontic treatment? An American Academy of Periodontology best evidence review. J Periodontol 2020;91:299-310. https://doi.org/10.1002/JPER.19-0037
  12. Staderini E, Guglielmi F, Cornelis MA, Cattaneo PM. Three-dimensional prediction of roots position through cone-beam computed tomography scansdigital model superimposition: a novel method. Orthod Craniofac Res 2019;22:16-23. https://doi.org/10.1111/ocr.12252
  13. Laursen MG, Rylev M, Melsen B. The role of orthodontics in the repair of gingival recessions. Am J Orthod Dentofacial Orthop 2020;157:29-34. https://doi.org/10.1016/j.ajodo.2019.01.023
  14. Pazera P, Fudalej P, Katsaros C. Severe complication of a bonded mandibular lingual retainer. Am J Orthod Dentofacial Orthop 2012;142:406-9. https://doi.org/10.1016/j.ajodo.2012.01.019
  15. Farret MM, Farret MM, da Luz Vieira G, Assaf JH, de Lima EM. Orthodontic treatment of a mandibular incisor fenestration resulting from a broken retainer. Am J Orthod Dentofacial Orthop 2015;148:332-7. https://doi.org/10.1016/j.ajodo.2015.04.027
  16. Khosravi R, Cohanim B, Hujoel P, Daher S, Neal M, Liu W, et al. Management of overbite with the Invisalign appliance. Am J Orthod Dentofacial Orthop 2017;151:691-9.e2. https://doi.org/10.1016/j.ajodo.2016.09.022
  17. Park J, Boyd RL. TADs and Invisalign. In: Park JH, ed. Temporary anchorage devices in clinical orthodontics. Hoboken: John Wiley & Sons; 2020. p. 541-54.
  18. Zhou N, Guo J. Efficiency of upper arch expansion with the Invisalign system. Angle Orthod 2020;90:23-30. https://doi.org/10.2319/022719-151.1
  19. Morton J, Derakhshan M, Kaza S, Li C. Design of the Invisalign system performance. Semin Orthod 2017;23:3-11. https://doi.org/10.1053/j.sodo.2016.10.001
  20. Flores-Mir C. Clear aligner therapy might provide a better oral health environment for orthodontic treatment among patients at increased periodontal risk. J Evid Based Dent Pract 2019;19:198-9. https://doi.org/10.1016/j.jebdp.2019.05.006
  21. Pini-Prato G. The Miller classification of gingival recession: limits and drawbacks. J Clin Periodontol 2011;38:243-5. https://doi.org/10.1111/j.1600-051X.2010.01655.x
  22. Lee KD, Mills CM. Bond failure rates for V-loop vs straight wire lingual retainers. Am J Orthod Dentofacial Orthop 2009;135:502-6. https://doi.org/10.1016/j.ajodo.2007.04.037
  23. Shaughnessy TG, Proffit WR, Samara SA. Inadvertent tooth movement with fixed lingual retainers. Am J Orthod Dentofacial Orthop 2016;149:277-86. https://doi.org/10.1016/j.ajodo.2015.10.015
  24. Bin Bahar BSK, Alkhalidy SR, Kaklamanos EG, Athanasiou AE. Do orthodontic patients develop more gingival recession in anterior teeth compared to untreated individuals? A systematic review of controlled studies. Int Orthod 2020;18:1-9. https://doi.org/10.1016/j.ortho.2019.08.025
  25. Renkema AM, Renkema A, Bronkhorst E, Katsaros C. Long-term effectiveness of canine-to-canine bonded flexible spiral wire lingual retainers. Am J Orthod Dentofacial Orthop 2011;139:614-21. https://doi.org/10.1016/j.ajodo.2009.06.041
  26. Katsaros C, Livas C, Renkema AM. Unexpected complications of bonded mandibular lingual retainers. Am J Orthod Dentofacial Orthop 2007;132:838-41. https://doi.org/10.1016/j.ajodo.2007.07.011
  27. Simon M, Keilig L, Schwarze J, Jung BA, Bourauel C. Forces and moments generated by removable thermoplastic aligners: incisor torque, premolar derotation, and molar distalization. Am J Orthod Dentofacial Orthop 2014;145:728-36. https://doi.org/10.1016/j.ajodo.2014.03.015
  28. Haouili N, Kravitz ND, Vaid NR, Ferguson DJ, Makki L. Has Invisalign improved? A prospective follow-up study on the efficacy of tooth movement with Invisalign. Am J Orthod Dentofacial Orthop 2020;158:420-5. https://doi.org/10.1016/j.ajodo.2019.12.015
  29. Levrini L, Mangano A, Montanari P, Margherini S, Caprioglio A, Abbate GM. Periodontal health status in patients treated with the Invisalign® system and fixed orthodontic appliances: a 3 months clinical and microbiological evaluation. Eur J Dent 2015;9:404-10. https://doi.org/10.4103/1305-7456.163218
  30. White DW, Julien KC, Jacob H, Campbell PM, Buschang PH. Discomfort associated with Invisalign and traditional brackets: a randomized, prospective trial. Angle Orthod 2017;87:801-8. https://doi.org/10.2319/091416-687.1
  31. Tepedino M, Paoloni V, Cozza P, Chimenti C. Movement of anterior teeth using clear aligners: a threedimensional, retrospective evaluation. Prog Orthod 2018;19:9. https://doi.org/10.1186/s40510-018-0207-3