Interdisciplinary management of a patient with advanced dental needs

Abstract

The present case report outlines the interdisciplinary management of an adult patient presenting with advanced generalised periodontal attachment loss, an upper dental midline discrepancy following the previous extraction of the upper left central incisor, and significant lower arch crowding. The endodontic and periodontal condition was stabilised prior to the commencement of fixed appliance orthodontic treatment and subsequent prosthetic replacement of the upper left central incisor. Interdisciplinary management provided a functional occlusion and stability of the periodontal condition along with pleasing facial and smile aesthetics.

Prevalence of Root Canal Treatment During Orthodontic Treatment: A Retrospective Five-Year Follow-Up

“…orthodontists, they must do an efficient treatment plan with the least dissonance to the teeth [14].…”

“…When teeth get resorbed, infected, or fractured during an orthodontic intervention, the complete treatment plan is altered. As orthodontists, they must do an efficient treatment plan with the least dissonance to the teeth [ 14 ].…”

Interdisciplinary management of an adult patient with significant tooth wear

“…Depending upon the individual case, these effects might be either favourable or unfavourable, therefore careful case selection and planning are paramount, and should include a tooth-size analysis and a diagnostic study model set-up. 35 In most cases, the removal of a single mandibular incisor result in minimal changes to the facial profile and posterior dentition. 32 In this case report, the decision to extract the 41 was made following careful consideration of the preexisting anterior and posterior occlusion combined with the proposed prosthodontic requirements.…”

“…Depending upon the individual case, these effects might be either favourable or unfavourable, therefore careful case selection and planning are paramount, and should include a tooth‐size analysis and a diagnostic study model set‐up 35 . In most cases, the removal of a single mandibular incisor result in minimal changes to the facial profile and posterior dentition 32 …”