Orthodontic management of pathological migration of central incisor in a patient with moderate to severe periodontal disease.

Proclination and extrusion of upper central incisors are considered as the main manifestations of pathological migration. They are the most common chief complaint of adult patients nowadays. With adequate orthodontic-periodontal teamwork it is possible to reestablish a healthy and well-functioning dentition with good occlusion, sufficient masticatory function, and satisfactory esthetics that will improve the psychological status of the patient after correcting the elongation and the migration of the anterior teeth. This report present a case with pathological migration of upper right central incisor treated orthodontically with a combination of intrusion, extrusion and retraction movement. This mechanics improve the bone topography, improve esthetics and also helps the patient to achieve good home oral hygiene care.