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Occasionally, treatment modalities fall short of the expected outcomes. In the case study presented, the patient's orthodontic treatment had to be abandoned abruptly owing to excessive root resorption affecting the upper and lower incisors. This left the patient with unsatisfactory aesthetics and a suboptimal occlusal set up. The signs of tooth wear, combined with reduced periodontal support as a result of resorption, meant that occlusal management in this case was just as important for long-term success and stability as aesthetic planning.
CPD/Clinical Relevance: The case presented demonstrates how to plan and execute both aesthetic and occlusally focused treatments in a minimally invasive and predictable manner.
Article
In the pursuit of aesthetics and functionality, clinicians often encounter complex cases requiring interdisciplinary collaboration and innovative approaches. This case study highlights a scenario where a patient presented with challenges from complications of orthodontic treatment, ultimately necessitating corrective restorative intervention.
A 28-year-old female was referred to the clinic by her orthodontist owing to complications arising during orthodontic treatment. The patient exhibited severe root resorption of the upper and lower central and lateral incisors, necessitating the cessation of orthodontic treatment. Apical root resorption is an undesirable side-effect of orthodontic treatment, and it is considered severe when 4 mm or one-third of the root length has resorbed.1 Severe apical root resorption has a reported incidence of between 1% and 5% of orthodontic cases.2 Figure 1 shows the radiographic extent of the resorption. The central incisors exhibited near grade 1 mobility, with less pronounced mobility on the lateral incisors.
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