JOURNAL OF PROSTHETIC DENTISTRY THE

Vol. 98 No. 6      DECEMBER - 2007

ISSN: 0022-3913      UBIC: 171

RESUMEN

Localized severe chronic periodontitis is often seen in middle-aged patients, particularly when plaque control for malaligned teeth is not satisfactory. While orthodontic treatment can realign such teeth with reduced periodontal support, esthetics may be compromised by gingival recession due to preexisting bone loss and resolution of inflammation after periodontal treatment. This clinical report describes how a malaligned maxillary lateral incisor with severe periodontitis was replaced by an immediately placed implant and implant-supported crown with a good esthetic outcome. (J Prosthet Dent 2007;98:423-428)

SUMMARY

In addition to combined periodontal and orthodontic treatment, immediate implant placement following extraction is a viable option for the management of a malaligned tooth with localized severe chronic periodontitis. The protocol described reduces the clinical treatment time. However, this protocol should only be used for select situations when the clinical condition allows an esthetic outcome.

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