Orthodontic And Prosthodontic Multidisciplinary Treatment Case

The patient has two molars (one on each side) that cannot be saved. One side has a wisdom tooth, while the other does not. Since the wisdom tooth's shape matches the molar, we will move it forward to replace the missing molar on that side. On the other side, a dental implant will be used. This plan preserves as much healthy natural teeth as possible. A 29-year-old male presented with moderate upper/lower dental crowding, lingually erupted teeth #22 and #45, missing teeth #36 and #38, severe periapical periodontitis of #47, and mesially impacted #48 with occlusal caries. No systemic conditions were noted. Treatment included extracting #47 and using Invisible Orthodontic: maxillary molar distalization via anchorage implants for alignment, mandibular alignment with segmental arch followed by Invisible Orthodontic to advance #48 into the #47 space, concluding with dental implant restoration for #36 post-orthodontics. Utilizing wisdom tooth to replace the missing molars is a viable option, avoiding both the trauma of implant surgery and the need for wisdom tooth extraction.Invisible Orthodontic is good at pushing, not good at root-control movement, so in the pre-selection segmental arch root-control upright #48. Using wisdom teeth to replace missing molars is a viable option, and leveraging the benefits of orthodontic treatment during the process can significantly improve efficiency.