Interdisciplinary Management of a Complex Esthetic Dilemma

Esthetic dilemmas often require an interdisciplinary approach to achieve an optimal result. This article describes such a case in which the patient presented with unesthetic porcelain crowns on structurally compromised maxillary anterior teeth. The maxillary incisors had failing root canals, advanced mobility, and deep periodontal pockets. In addition, there was a congenitally missing maxillary lateral incisor. The canine substitution created a severely canted appearance exacerbated by the patient's high smile line. A coordinated interdisciplinary treatment plan was put into action to satisfy the patient's chief complaints and achieve a successful outcome. In this instance, this approach involved a periodontist, orthodontist, and prosthodontist, as well as initial input from an endodontist.