J Dent Rehabil Appl Sci.  2022 Mar;38(1):26-33. 10.14368/jdras.2022.38.1.26.

Periodontal and prosthetic treatment of maxillary incisors with pathological tooth migration: a case report with 10-year follow-up

• Kim SY
• Kwon EY

• KMID: 2534975
• DOI: http://doi.org/10.14368/jdras.2022.38.1.26

Abstract

Anterior tooth spacing is observed by pathological tooth movement (PTM), which is common in periodontal patients. And various occlusal factors contribute to PTM, especially in the maxillary anterior region, when there is excessive occlusal force, flaring due to position problem easily occurs. Teeth with loss of periodontal support tissue can secure stability when expanding the support area through intentional splinting, and change the occlusion when restored as a fixed prosthesis. After confirming the stable occlusion through the provisional prosthesis, it can be transferred to the final prosthesis through CAD-CAM. In this case, we present a longterm stable case through accurate diagnosis and treatment of the maxillary anterior teeth that have lost interdental contact.

Keyword

pathological tooth migration; splinting; periodontal treatment; CAD-CAM; fixed prosthesis