title: Multidisciplinary approach to an asymmetric traumatic occlusion: a case report.
abstract: The case of a 47-year-old female patient with an asymmetric traumatic occlusion, great alveolar destruction in the mandibular left central incisor, gingival recession with attachment loss and lack o fkeratinized tissue more accentuated in the crossbite teeth is described. This situation was caused by the traumatic position of the teeth, aggravated by a forced asymmetric anterior position of the mandible and aggravated by mandibular movements. After the extraction of the left central mandibular incisor, keratinized tissue reconstruction and alveolar bone regeneration were performed to obtain enough bone to move the adjacent teeth in this direction and allow the correct placement of an implant at the end of orthodontic treatment. The orthodontic treatment achieved general stable occlusal contacts and esthetic results that were finalized with a definitive prosthetic treatment. This interdisciplinary management was important to solve in the present case the seriously compromised function and esthetics that would never be achieved without this combination.
authors.forename: T
authors.initials: T
authors.lastname: Pinho
authors.forename: C
authors.initials: C
authors.lastname: Coutinho-Alves
authors.forename: M
authors.initials: M
authors.lastname: Neves
mesh_terms: D016301:Alveolar Bone Loss / Q000628:therapy; D000540:Alveolar Ridge Augmentation / Q000379:methods; D055113:Chronic Periodontitis / Q000628:therapy; D003758:Dental Implantation, Endosseous / Q000379:methods; D019250:Dental Implants, Single-Tooth; D003769:Dental Occlusion, Traumatic / Q000628:therapy*; D005260:Female; D005881:Gingiva / Q000637:transplantation; D005889:Gingival Recession / Q000628:therapy; D016557:Guided Tissue Regeneration, Periodontal / Q000379:methods; D006801:Humans; D007180:Incisor / Q000473:pathology; D008310:Malocclusion / Q000628:therapy; D008336:Mandibular Diseases / Q000628:therapy; D008875:Middle Aged; D010347:Patient Care Planning; D010348:Patient Care Team; D017622:Periodontal Attachment Loss / Q000628:therapy; D014086:Tooth Mobility / Q000628:therapy; D014087:Tooth Movement Techniques / Q000379:methods; D016896:Treatment Outcome