Management of a mutilated orthodontic case through a multidisciplinary approach- a case report

A female patient aged 35 years reported with mutilated occlusion with mid line shift, aggravation of skeletal Cl II with posterior cross bite on patient's right side. This was a case of Skeletal Class II Div 1 malocclusion which had been treated previously by other operator with extraction of all 1st premolars except in upper right quadrant. Multidisciplinary approach was taken to resolve all the problems as follows: mid line shift & cross bite were corrected by the orthodontist with application of “FORSUS: Fatigue Resistant Device”, the odontome was eliminated by the oral surgeon, reconstruction of a premolar crown was done by the specialist in esthetic conservative dentistry & gingival grafting on a canine was done by the Periodontist. The objective of this presentation is to demonstrate the satisfactory outcome of the multidisciplinary approach in a mutiliated occlusion.1 and 2