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International Journal of Periodontics & Restorative Dentistry
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Int J Periodontics Restorative Dent 35 (2015), No. 3     28. Apr. 2015
Int J Periodontics Restorative Dent 35 (2015), No. 3  (28.04.2015)

Online Article, Page 35-43, doi:10.11607/prd.2345, PubMed:25909531


Online Article: Esthetic and Functional Rehabilitation of a Severely Compromised Central Incisor: An Interdisciplinary Approach
Jepsen, Karin / Jaeger, Andreas / Jepsen, Søren
This case report of a patient with a central incisor with rapid destruction of periodontal tissues associated with pathologic tooth migration illustrates the esthetic and functional reconstruction of a severely compromised tooth. An interdisciplinary approach, including resolution of the infection and regenerative periodontal surgery followed by orthodontic tooth movement, transformed a hopeless tooth with high mobility, attachment loss approaching the apex, and a Miller Class IV recession into a clinically healthy tooth. Treatment planning for periodontally involved anterior teeth with pathologic migration should consider a multidisciplinary approach for preservation of the natural dentition.