title: Interdisciplinary approach for the treatment of periodontally compromised malpositioned anterior teeth: a case report.
abstract: 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.
authors.affiliation: Department of Operative Dentistry and Periodontology, Johannes-Gutenberg University, Mainz, Germany. Kasaj@gmx.de
authors.forename: Adrian
authors.initials: A
authors.lastname: Kasaj
authors.forename: Heiner
authors.initials: H
authors.lastname: Wehrbein
authors.forename: Aristea
authors.initials: A
authors.lastname: Gortan-Kasaj
authors.forename: Christoph
authors.initials: C
authors.lastname: Reichert
authors.forename: Brita
authors.initials: B
authors.lastname: Willershausen