Interdisciplinary management of gingival recession and pathologic teeth migration-Revisiting dental aesthetics

Poor aesthetics due to gingival recession can be a common concern among patients, specifically in individuals with gummy or high smile line. Various factors including patient related, site specific and technical factors need to be considered while treating gingival recession, as they all have a significant bearing on treatment success. Patients having aesthetic problems due to exposed root surfaces should have surgical root coverage procedures. Pathologic migration of anterior teeth is another aesthetic and functional problem that may be associated with advanced or chronic periodontal disease. Literature suggests the destruction of periodontal supporting structures to be the most commonly associated factor responsible for pathologic tooth migration. This case report is about the management of dental aesthetics of a middle-aged lady who was concerned about recession and pathologic tooth migration secondary to chronic periodontal disease. Employing multidisciplinary approach that included surgery, periodontics, endodontic and prosthodontics, the lady was provided with an aesthetically pleasing dentition.