Interdisciplinary treatment of a periodontally compromised adult patient with multiple missing posterior teeth.
This article reports the comprehensive, interdisciplinary treatment of a 50-year-old periodontally compromised adult patient with multiple missing posterior teeth. After initial periodontal treatment, the maxillary first molars and right central incisor were intruded orthodontically. Miniscrews were used to intrude the maxillary first molars by 3 mm. The mandibular arch was restored with a tooth-supported overdenture. Root coverage of the maxillary right central incisor was performed using Alloderm (Biohorizons, Birmingham, Ala). At the end of the interdisciplinary therapy, the results were esthetically pleasing, with the patient's oral functions restored to the optimum. The emphasis of this report is to highlight the importance of integrating various specialties such as periodontics, orthodontics, endodontics, and restorative dentistry toward a common goal of improving the patient's oral health, function, and esthetics.
Resident, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut, Farmington, Conn. Electronic address: agarwal@gde.uchc.edu.
Sachin
S
Agarwal
Private practice, Kolkata, India.
Sumita
S
Gupta
Postdoctoral fellow, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut School, Farmington, Conn.
Vinay K
VK
Chugh
Postgraduate resident, Department of Orthodontics, Manipal College of Dental Sciences, Manipal, Karnataka, India.
Eety
E
Jain
Professor and chair, Department of Orthodontics, Manipal College of Dental Sciences, Manipal, Karnataka, India.
Ashima
A
Valiathan
Professor and chair, Division of Orthodontics, University of Connecticut Health Center, Farmington.
Ravindra
R
Nanda
D062088:Acellular Dermis; D003094:Collagen / Q000627:therapeutic use; D003190:Comprehensive Dental Care; D000044:Dental Abutments; D003828:Denture, Overlay; D003832:Denture, Partial, Removable; D005260:Female; D005889:Gingival Recession / Q000601:surgery; D016557:Guided Tissue Regeneration, Periodontal / Q000379:methods; D006801:Humans; D007180:Incisor / Q000473:pathology; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation; D008311:Malocclusion, Angle Class I / Q000628:therapy*; D008334:Mandible / Q000473:pathology; D008875:Middle Aged; D008963:Molar / Q000473:pathology; D052280:Orthodontic Anchorage Procedures / Q000295:instrumentation; D010347:Patient Care Planning; D010348:Patient Care Team; D010510:Periodontal Diseases / Q000628:therapy*; D016388:Tooth Loss / Q000534:rehabilitation*; D014087:Tooth Movement Techniques / Q000295:instrumentation
C440568:Alloderm; D003094:Collagen