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   Offical Journal of The Academy of Osseointegration

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Volume 35 , Issue 3
May/June 2015

Pages e35–e43

Esthetic and Functional Rehabilitation of a Severely Compromised Central Incisor: An Interdisciplinary Approach

Karin Jepsen, DDS, Dr Med Dent/Andreas Jaeger, DDS, PhD/Søren Jepsen, DDS, MD, MS, PhD

PMID: 25909531
DOI: 10.11607/prd.2345

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.

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