Vertical extrusion using a removable orthodontic appliance

Vertical extrusion is a useful adjunct to periodontal-restorative procedures, particularly in the anterior segment of the dentition in which esthetic appearance is a primary concern. In the case presented, a multidisciplinary approach was used to treat a tooth successfully with extensive subgingival destruction. Orthodontic and periodontic treatment, as part of an integrated treatment plan, resulted in preservation of esthetic appearance and establishment of sound tooth structure to allow for biologic width and restorative margins.