case_images: PMC5831828_01
case_images: Pre-orthodontic treatment facial (a) and intraoral photographs (b) and dental casts (c) are shown.
case_images: CRID2018-3876297.001.jpg
case_images: PMC5831828_06_CRID2018-3876297.001.jpg
case_images: fig1
case_images: Dental findings showed slight elongation of the maxillary and mandibular molars, and the angles of the tooth axis inclinations of the maxillary front teeth had lessened (Figures 2 and 7, Table 1).
case_images: Pre-orthodontic treatment cephalograms (a) and panoramic radiograph (b) are shown.
case_images: CRID2018-3876297.002.jpg
case_images: PMC5831828_06_CRID2018-3876297.002.jpg
case_images: fig2
case_images: Dental findings showed slight elongation of the maxillary and mandibular molars, and the angles of the tooth axis inclinations of the maxillary front teeth had lessened (Figures 2 and 7, Table 1).
case_images: PMC5831828_02
case_images: Pre-orthodontic treatment facial (a) and intraoral photographs (b) and dental casts (c) are shown.
case_images: CRID2018-3876297.001.jpg
case_images: PMC5831828_06_CRID2018-3876297.001.jpg
case_images: fig1
case_images: Dental findings showed slight elongation of the maxillary and mandibular molars, and the angles of the tooth axis inclinations of the maxillary front teeth had lessened (Figures 2 and 7, Table 1).
case_images: Pre-orthodontic treatment cephalograms (a) and panoramic radiograph (b) are shown.
case_images: CRID2018-3876297.002.jpg
case_images: PMC5831828_06_CRID2018-3876297.002.jpg
case_images: fig2
case_images: Dental findings showed slight elongation of the maxillary and mandibular molars, and the angles of the tooth axis inclinations of the maxillary front teeth had lessened (Figures 2 and 7, Table 1).
case_images: Pre-orthodontic treatment dental radiographs (a) and periodontal examinations (b) are shown. The red color indicates bleeding on probing.
case_images: CRID2018-3876297.003.jpg
case_images: PMC5831828_02_CRID2018-3876297.003.jpg
case_images: fig3
case_images: The radiographic findings indicated vertical bone resorption in the mesial portions of the right maxillary and mandibular first molars, and the maxillary and mandibular front teeth showed high-grade bone resorption (Figures 2 and 3). Bleeding on probing was observed (Figure 3). There was also moderate loss of the mesial interdental papilla in the gingival recession area of the bilateral maxillary lateral incisors (Figures 1 and 3). These locations generally correlated with the locations of the patient's symptoms of periodontal disease according to the periodontal disease chart (Figure 3).
case_images: Brux Checker findings. (a) Before orthodontic treatment, (b) just before removal of the orthodontic appliance, and (c) at 2 years after retention.
case_images: CRID2018-3876297.004.jpg
case_images: PMC5831828_06_CRID2018-3876297.004.jpg
case_images: fig4
case_images: The BC findings after completion of treatment indicated weakening of the strong functional contact that was present in the right maxillary lateral dentition and front teeth (Figures 4 and 4).
case_images: PMC5831828_03
case_images: PMC5831828_04
case_images: The periodontal examinations after periodontal treatment are shown. The red color indicates bleeding on probing.
case_images: CRID2018-3876297.005.jpg
case_images: PMC5831828_06_CRID2018-3876297.005.jpg
case_images: fig5
case_images: PMC5831828_05
case_images: Brux Checker findings. (a) Before orthodontic treatment, (b) just before removal of the orthodontic appliance, and (c) at 2 years after retention.
case_images: CRID2018-3876297.004.jpg
case_images: PMC5831828_06_CRID2018-3876297.004.jpg
case_images: fig4
case_images: The BC findings after completion of treatment indicated weakening of the strong functional contact that was present in the right maxillary lateral dentition and front teeth (Figures 4 and 4).
case_images: Post-orthodontic treatment facial (a) and intraoral photographs (b) and dental casts (c) are shown.
case_images: CRID2018-3876297.006.jpg
case_images: PMC5831828_06_CRID2018-3876297.006.jpg
case_images: fig6
case_images: Post-orthodontic treatment cephalograms (a) and panoramic radiograph (b) are shown.
case_images: CRID2018-3876297.007.jpg
case_images: PMC5831828_06_CRID2018-3876297.007.jpg
case_images: fig7
case_images: Dental findings showed slight elongation of the maxillary and mandibular molars, and the angles of the tooth axis inclinations of the maxillary front teeth had lessened (Figures 2 and 7, Table 1).
case_images: Post-orthodontic treatment dental radiographs (a) and periodontal examinations (b) are shown. The red color indicates bleeding on probing.
case_images: CRID2018-3876297.008.jpg
case_images: PMC5831828_06_CRID2018-3876297.008.jpg
case_images: fig8
case_images: Postretention facial (a) and intraoral photographs (b) and dental casts (c) are shown.
case_images: CRID2018-3876297.009.jpg
case_images: PMC5831828_06_CRID2018-3876297.009.jpg
case_images: fig9
case_images: A post-retention cephalograms (a) and panoramic radiographs (b) are shown.
case_images: CRID2018-3876297.010.jpg
case_images: PMC5831828_05_CRID2018-3876297.010.jpg
case_images: fig10
case_images: Two years after starting use of the retainers (Figures 9-11), the BC assessment was performed again, and the periodontal disease was reexamined (Figures 11 and 4).
case_images: Post-retention dental radiographs (a) and periodontal examinations (b) are shown. The red color indicates bleeding on probing.
case_images: CRID2018-3876297.011.jpg
case_images: PMC5831828_05_CRID2018-3876297.011.jpg
case_images: fig11
case_images: Two years after starting use of the retainers (Figures 9-11), the BC assessment was performed again, and the periodontal disease was reexamined (Figures 11 and 4).
case_images: Frontal views of intraoral photographs are shown. (a) Before orthodontic treatment, (b) after orthodontic treatment, (c) at 6 months after periodontal surgical treatment, and (d) at 1 year 5 months after periodontal surgical treatment.
case_images: CRID2018-3876297.012.jpg
case_images: PMC5831828_06_CRID2018-3876297.012.jpg
case_images: fig12
case_images: Seventeen months after surgery, the patient had improved oral hygiene, had acquired esthetically good periodontal tissue, had stable functional occlusion, and was satisfied with the outcome (Figure 12).
case_images: PMC5831828_06
case_images: Pre-orthodontic treatment facial (a) and intraoral photographs (b) and dental casts (c) are shown.
case_images: CRID2018-3876297.001.jpg
case_images: PMC5831828_06_CRID2018-3876297.001.jpg
case_images: fig1
case_images: Dental findings showed slight elongation of the maxillary and mandibular molars, and the angles of the tooth axis inclinations of the maxillary front teeth had lessened (Figures 2 and 7, Table 1).
case_images: Pre-orthodontic treatment cephalograms (a) and panoramic radiograph (b) are shown.
case_images: CRID2018-3876297.002.jpg
case_images: PMC5831828_06_CRID2018-3876297.002.jpg
case_images: fig2
case_images: Dental findings showed slight elongation of the maxillary and mandibular molars, and the angles of the tooth axis inclinations of the maxillary front teeth had lessened (Figures 2 and 7, Table 1).
case_images: Brux Checker findings. (a) Before orthodontic treatment, (b) just before removal of the orthodontic appliance, and (c) at 2 years after retention.
case_images: CRID2018-3876297.004.jpg
case_images: PMC5831828_06_CRID2018-3876297.004.jpg
case_images: fig4
case_images: The BC findings after completion of treatment indicated weakening of the strong functional contact that was present in the right maxillary lateral dentition and front teeth (Figures 4 and 4).
case_images: The periodontal examinations after periodontal treatment are shown. The red color indicates bleeding on probing.
case_images: CRID2018-3876297.005.jpg
case_images: PMC5831828_06_CRID2018-3876297.005.jpg
case_images: fig5
case_images: Post-orthodontic treatment facial (a) and intraoral photographs (b) and dental casts (c) are shown.
case_images: CRID2018-3876297.006.jpg
case_images: PMC5831828_06_CRID2018-3876297.006.jpg
case_images: fig6
case_images: Post-orthodontic treatment cephalograms (a) and panoramic radiograph (b) are shown.
case_images: CRID2018-3876297.007.jpg
case_images: PMC5831828_06_CRID2018-3876297.007.jpg
case_images: fig7
case_images: Dental findings showed slight elongation of the maxillary and mandibular molars, and the angles of the tooth axis inclinations of the maxillary front teeth had lessened (Figures 2 and 7, Table 1).
case_images: Post-orthodontic treatment dental radiographs (a) and periodontal examinations (b) are shown. The red color indicates bleeding on probing.
case_images: CRID2018-3876297.008.jpg
case_images: PMC5831828_06_CRID2018-3876297.008.jpg
case_images: fig8
case_images: Postretention facial (a) and intraoral photographs (b) and dental casts (c) are shown.
case_images: CRID2018-3876297.009.jpg
case_images: PMC5831828_06_CRID2018-3876297.009.jpg
case_images: fig9
case_images: Frontal views of intraoral photographs are shown. (a) Before orthodontic treatment, (b) after orthodontic treatment, (c) at 6 months after periodontal surgical treatment, and (d) at 1 year 5 months after periodontal surgical treatment.
case_images: CRID2018-3876297.012.jpg
case_images: PMC5831828_06_CRID2018-3876297.012.jpg
case_images: fig12
case_images: Seventeen months after surgery, the patient had improved oral hygiene, had acquired esthetically good periodontal tissue, had stable functional occlusion, and was satisfied with the outcome (Figure 12).
case_images: A superimposed cephalometric tracing is shown. (a) From pre-orthodontic treatment to post-orthodontic treatment; (b) from post-orthodontic treatment to postretention.
case_images: CRID2018-3876297.013.jpg
case_images: PMC5831828_06_CRID2018-3876297.013.jpg
case_images: fig13
case_images: In the cephalometric superimposition (Figure 13), the mandible was slightly rotated clockwise, and the patient's profile was virtually unchanged.