Orthodontic extrusion and implant restoration to manage localized advanced bone loss: a clinical case review

Restorative dentists must consider and respect the preferences of their patients when developing treatment plans. They must also communicate openly with both the patient and their interdisciplinary team regarding treatment objectives, particularly in challenging cases such as the one presented herein, in which the patient had severe recession above her upper laterals and cuspids, was congenitally missing molars, and had a history of full-mouth scaling and root planing as well as periodontal surgery in the maxillary arch. This case incorporated four phases of treatment--endodontics, orthodontics, surgical, and restorative--to achieve the desired results.