Journal of AdvancedMedical and Dental Sciences Research

We all are well aware that Orthodontic therapy for patients who have mutilated dentition can be clinically challenging. Commonly, an interdisciplinary treatment plan is needed to allow restoration of function and aesthetics in the "mutilated dentition". Tooth movement of periodontally involved teeth has to be done with a minimum of jiggling indicating an upper hand of segmented appliances where the forces are better controlled in all three dimensions. Orthodontists play a vital role in interdisciplinary treatment approach by preventing excessive periodontal surgery by establishing a physiologic alveolar crestal topography of a localized bony defect, up righting of mesially tipped molar, forced eruption of a fractured tooth avoiding extraction, leveling the gingival margins, correcting biological width violations and improving implant sites. This review is an attempt to assess the current outlook and perception of orthodontic treatment in mutilated dentition.