This report is to present a case of periodontal orthodontic treatment in which a comprehensive approach was taken involving periodontal, orthodontic, and occlusal intervensions while assessing masticatory function in a patient with generalized severe chronic periodontitis. In this case, the interdental separation of 2 1 and the protrusion of 1 were apparent due to extensive severe periodontitis and clenching, and 2 2 were squeezing the maxillary gingiva. There was moderate to severe alveolar bone resorption throughout the maxilla and mandible, and the dentition was inclined proximally, with gingival swelling, bleeding and tooth mobility. The findings of masticatory movement showed a very slow masticatory cycle of about 1 second, TMJ noise, and TMD symptoms such as inability to open the mouth straight. In addition, various complaints such as headache, hearing loss, and stiff shoulders were also observed. In this complicated case, we reconstructed the malpositioned dentition and occlusion by periodontal orthodontic treatment, provided functional mastication, and reconstructed the occlusion with a crown bridge. 14 years had passed since the initial examination, and the regeneration of periodontal tissue was confirmed, and the occlusion, function, and aesthetics were restored in harmony with the temporomandibular joint.
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