Interdisciplinary Management of a Complex Esthetic Dilemma

Area of Science:

• Dental Aesthetics
• Interdisciplinary Dentistry

Background:

• Patient presented with unesthetic porcelain crowns on compromised maxillary anterior teeth.
• Maxillary incisors exhibited failing root canals, mobility, and periodontal issues.
• Congenitally missing lateral incisor with canine substitution resulted in a canted appearance and high smile line.

Purpose of the Study:

• To describe an interdisciplinary treatment approach for complex esthetic dilemmas.
• To detail the management of structurally compromised maxillary anterior teeth with esthetic concerns.
• To showcase the collaborative efforts of multiple dental specialists in achieving optimal patient outcomes.

Main Methods:

• Coordinated interdisciplinary treatment plan involving periodontist, orthodontist, and prosthodontist.
• Initial input from an endodontist for compromised root canal treated teeth.
• Addressing failing root canals, advanced mobility, periodontal pockets, and congenital tooth absence.

Main Results:

• Successful resolution of esthetic complaints.
• Restoration of structural integrity to compromised maxillary anterior teeth.
• Improved function and esthetics, satisfying patient's chief complaints.

Conclusions:

• Interdisciplinary dental treatment is crucial for managing complex esthetic cases.
• Collaboration among specialists ensures comprehensive care and optimal results.
• A coordinated approach effectively addresses multiple dental issues for enhanced patient satisfaction.