Comprehensive periodontal treatment for recurrence of generalized aggressive periodontitis during orthodontic treatment

Abstract

Orthodontic treatment in patients with generalized aggressive periodontitis (GAP) is occasionally associated with rapid attachment loss, bone resorption, and gingival recession. This case described periodontal therapy included periodontal regenerative surgery for GAP patient which repeated acute symptoms due to inappropriate orthodontic therapy. Periodontal treatment, including regenerative periodontal surgery was successfully performed and the condition of the good periodontal tissue remained stable. Therefore, orthodontic treatment should be performed in GAP patients only after elimination of putative bacterial pathogens.