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An integrated approach to optimizing orofacial health, function, and esthetics: a 5-year retrospective study
1Department of Oral Medicine, Oral Roberts University School of Dentistry, Tulsa, Oklahoma, USA.
Summary
Restorative dentists can manage complex cases with an innovative surgical technique. This approach improved function and aesthetics in a patient with severe dental issues.
Area of Science:
- Restorative Dentistry
- Periodontics
- Oral Surgery
Background:
- Restorative dentists manage complex cases requiring interdisciplinary care.
- Advanced periodontitis and maxillary anterior excess present significant treatment challenges.
Observation:
- A patient presented with severe maxillary anterior excess, pronounced overjet, and advanced periodontitis.
- Traditional extraction and alveolectomy often yield suboptimal functional and esthetic outcomes.
Findings:
- An integrated treatment approach was employed, including a novel anterior maxillary rotating segmental ostectomy.
- This surgical technique was combined with restorative, periodontal, and prosthetic (removable dentures) procedures.
- The 5-year retrospective study demonstrated successful long-term outcomes.
Implications:
- This case highlights a previously undescribed surgical option for complex restorative cases.
- The integrated approach offers a viable alternative to extraction for improving patient function and aesthetics.
- This technique expands the restorative dentist's armamentarium for managing challenging interdisciplinary reconstructions.