Multidisciplinary Case Presentation
The aim of this case report is to present the successful orthodontic management of an adult female patient with anterior crowding, Stage III Grade B Periodontitis, and a missing #9. The patient began orthodontic treatment after she was cleared to start treatment by the periodontal faculty and was placed on supportive periodontal therapy recalls. Her orthodontic treatment plan involved treatment with clear aligners (i.e. Invisalign) in order to perform slow, controlled movements and to facilitate oral hygiene. The patient’s first set of trays resolved a majority of her crowding with a combination of arch development and IPR, and the space was maintained for a #9 implant. After the patient completed her first set of trays, which took 10 months, the orthodontic resident referred her to the main clinic for evaluating for implant placement. A Straumann implant was placed at the #9 site and a bone graft was placed on the facial of #9 at the time of implant placement. A resorbable membrane was placed over the top of the bone graft and sutured. While waiting for the implant to osseointegrate, the patient began a second set of refinement Invisalign trays to resolve the remaining minor crowding. Currently, the patient is still in her second set of trays, and the implant crown will be placed when her orthodontic treatment is completed.
Author(s): Dr. Gabrielle Louise Wainwright, Ortho ’22, Devon H. Scott, DDS ’22
Residents Orthodontics Award