Multidisciplinary Treatment With Adjunctive Orthodontics, Surgical Crown Lengthening, and Esthetic Rehabilitation

Anterior spacing caused by missing upper lateral incisors and edge-to-edge position in the front teeth can negatively affect the appearance of a person's smile, leading to mental and social distress. A 29-year-old woman approached with the issue of edge-to-edge anterior occlusion, upper and lower spacing, missing lateral teeth, and improper occlusion. The treatment plan involved an interdisciplinary approach with orthodontics, implants, periodontics, and prosthodontics. After orthodontic treatment, third molar extraction and two buccal shelf mini screws were recommended to distalize the lower posterior teeth and retract the lower incisors using a power chain. Gingivoplasty and veneer restorations were performed on teeth 14–24 to improve the patient's smile aesthetics. The interdisciplinary approach used in this case involved fixed orthodontics, periodontal surgery, and prosthodontics to manage and improve the patient's smile and facial appearance.