Figure 8: Lateral cephalometric superimposition to determine the status of facial growth
Figure 20: (A) Pre-treatment vertical gingival discrepancy between 11 and 21 caused mainly by supra-eruption of 21. (B) Mid-treatment photograph demonstrating resolution of this discrepancy
Figure 1: Diagnostic process.
Figure 2: Organized approach to a final treatment plan.
Figure 3: Treatment execution.
Figure 4: 11-point interdisciplinary treatment protocol.
Figure 6: Dental arch crowding as a ‘major’ periodontal concern. (A) Labially positioned mandibular right central incisor associated with gingival recession. (B) Teeth that are moved into areas of better bone supporrt
Figure 7: Biologic width and its clinical significance.
Figure 11: Orthodontic mechanics to open the space (A), adequate intra-coronal space (B), inadequate space between the roots of central incisor and canine as seen radiographically (C).
Figure 12: Assessment of space across three levels
Figure 17: Orthodontic treatment to redistribute interproximal spaces, correct deep bite and retract maxillary incisors
Figure 18: (A) Pre-treatment intra-oral photographs. (B) Post-treatment: integrated orthodontic and restorative treatment to establish normal tooth proportions and smile esthetics
Figure 19: (A) Pre-treatment smile. (B) Improved post-treatment smile
Figure 5: (C) Orthodontic movement of teeth into better bone support, parallelism of roots and differential vertical tooth movement
Figure 16: (A) Pre-treatment intro-oral photographs showing malformed maxillary lateral incisors and interproximal spacing.
Figure 5: Tooth position and periodontal health. (A) Gingival impingement due to deep bite causes direct periodontal lesion, (B) Dental crowding leads to accumulation of plaque that causes indirect periodontal lesion
Figure 9: Adequate space between the roots for implant placement
Figure 10: Optimal space gained with appropriate orthodontic mechanics for the restoration, provisional tooth bracketed and attached to the arch wire
igure 13: (A) deep overbite and cervical part of the lateral incisor. (B) the presence of maxillary left lateral incisor root piece with good interproximal bone levels. (C) Pocket depth of 6mm in the lateral incisor region
Figure 14: (A) Orthodontic treatment to gain adequate space for implant placement (≠22) (B) Controlled vertical eruption of maxillary left lateral incisor root at completion. (C) Lateral incisor root piece extracted
Figure 15: (A) Maxillary left lateral incisor implant restoration. (B) Intraoral periapical x-ray after implant placement, and after abutment loading
Figure 16: (B) Pre-treatment photographs demonstrating impaired smile esthetics and deep overbite
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November 25, 2015
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