J Korean Acad Periodontol.  2008 Aug;38(Suppl):405-412. 10.5051/jkape.2008.38.Suppl.405.

Combined periodontal regenerative and prosthetic treatment of pathologic migration of anterior teeth

• Lee JY

• KMID: 1486875
• DOI: http://doi.org/10.5051/jkape.2008.38.Suppl.405

Abstract

PURPOSE
Pathologic tooth migration (PTM) commonly occurs in the anterior region and is associated with periodontal disease. The treatment of PTM of anterior teeth can be complex and time consuming, and a multidisciplinary approach is often required.
MATERIALS AND METHODS
The patient was a 38-year-old woman with a chief complaint of saving and realigning her elongated maxillary left central incisor. This paper describes the successful combined periodontal regenerative (guided tissue regeneration) and prosthetic treatment and a 2-year follow-up of maxillary central incisor with pathologic tooth migration, deep intrabony defect, and poor prognosis.
RESULTS
The right maxillary central incisor was restored by laminate veneer and the left by all-ceramic crown. The patient had no pain and discomfort and was satisfied with the outcomes of her treatment for 2 years. She has maintained her recall program at the Department of Periodontology at 3 months interval.
CONCLUSION
The key step in the successful treatment of PTM in anterior region is to obtain a high level of cooperation from the patient. Maintenance of the treatment result of PTM is dependent on the continuous preservation of periodontal health.

Keyword

guided tissue regeneration (GTR); pathologic tooth migration; anterior teeth; advanced periodontitis

MeSH Terms

Adult
Crowns
Female
Follow-Up Studies
Humans
Incisor
Periodontal Diseases
Tooth
Tooth Migration