Periodontal-orthodontic interdisciplinary management of a “periodontally hopeless” maxillary central incisor with severe mobility: A case report and review of literature

Figure 1 Extraoral and intraoral photographs before treatment.

Figure 2 Pretreatment models.

Figure 3 Pretreatment radiographs. A: Panoramic radiograph; B: Apical radiograph; C: Cephalometric radiograph.

Figure 4 Diagram of the treatment process.

Figure 5 Periodontal surgery process and periodontal status 3 mo after surgery. A and B： Facial and palatal bone defects after flap elevation; C and D： Bone particulate transplantation and collagen membrane insertion; E: Operation after suturing; F: Periodontal status 2 mo after surgery.

Figure 6 Treatment progress. A-C: Photographs at 1, 2 and 3 mo after the start of orthodontic treatment.

Figure 7 Posttreatment intraoral photographs and periodontal probing. The periodontal tissue was in good condition, with no deep periodontal pockets.

Figure 8 Intraoral photographs after a follow-up period of 15 mo. A space of 1 mm was observed between the upper right lateral incisor and the upper right central incisor.

Figure 9 Second phase of orthodontic treatment and follow-up. A and B: Orthodontic treatment to open space distal to the upper right canine; C: Treatment result.

Figure 10  Posttreatment cephalometric radiograph. A: Cephalometric radiograph after treatment; B: Conventional cephalometric superimposition of tracings before and after treatment.

Figure 11  Posttreatment radiographs (43 mo after periodontal surgery).

Figure 12  Posttreatment extraoral and intraoral photographs and periodontal probing on follow-up 1 year after orthodontic treatment.

Figure 13  Follow-up 3 years after treatment. A and B: Posttreatment extraoral and intraoral photographs; C: Apical radiograph; D and E: Periodontal probing.