Interdisciplinary Treatment of a Periodontally Compromised Adult

This case report describes the interdisciplinary treatment of a 32-year-old female patient showing protrusive profile, a Class I canine relationship complicated with multiple missing teeth, extruded upper left first molar, exaggerated curve of Spee, generalized bone loss and an endoperio lesion involving lower left first premolar. After achieving a complete control of active periodontal disease, extraction of third molars, endodontic therapy of lower left first premolar, followed by orthodontic treatment was carried out. A functional and esthetic occlusion with improved facial profile was established at the end of treatment combined with esthetic restorations of upper anterior teeth to close the black triangles and prosthetic replacement of missing teeth. Chronic periodontal disease create multitude of complications which needs to be treated by a team of dental specialists and not by one individual; in the best interest of the patients including their apprehensions, medical and oral conditions, time and cost.