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RESEARCH PRODUCT

Interdisciplinary approach for the treatment of periodontally compromised malpositioned anterior teeth: a case report

Heiner WehrbeinAristea Gortan-kasajChristoph ReichertBrita WillershausenAdrian Kasaj

subject

OrthodonticsMedicine(all)medicine.medical_specialtyDentitionbusiness.industryDentistryGeneral MedicinePlastic surgerystomatognathic diseasesPeriodontal diseasestomatognathic systemCase reportGingival biotypemedicineImplantmedicine.symptombusinessGingival recessionAnterior teethDental alveolus

description

Today many adult patients with periodontal disease demonstrate positioning of teeth that comprise their ability for proper mechanical tooth cleaning of approximal tooth surfaces. With adequate combined periodontal-orthodontic treatment it is possible to re-establish a healthy and well-functioning dentition. However, while orthodontic treatment can realign periodontally affected teeth, esthetic appearance may be compromised by gingival recession due to alveolar bone dehiscences or fenestrations in combination with a thin gingival biotype. This article reports an interdisciplinary (periodontic, orthodontic, restorative) approach for the treatment of a periodontally compromised patient with anterior dental malalignment. Periodontal therapy, including periodontal plastic surgery to obtain root coverage as well as orthodontic treatment by means of a miniscrew implant anchorage were used to achieve stable periodontal conditions and successful esthetic and functional final results.

10.4076/1757-1626-2-8568http://dx.doi.org/10.4076/1757-1626-2-8568