Is it cloudy in the pews?


Am J Orthod Dentofacial Orthop 2017;151:432

You are well prepared for your last consultation of the day. Your patient is an introspective philosophy professor who was referred to you by a local prosthodontist. His request is that you upright her mandibular second molars for future replacement of the absent first molars. There is no question that uprighting the second molars will improve her periodontal prognosis by eradicating the vertical osseous defects at their mesial roots. Support of her vertical dimension will also be significantly enhanced. In lay terms, you emphasize the need for devoted control of gingival inflammation to minimize the possibility of further bone loss as uprighting proceeds. You explain that although 1 option is to restore the missing teeth without orthodontic cotherapy, you also review the pros and cons of treatment to confirm that your service is worth her commitment.

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