A number of reports have indicated that orthodontic treatment can improve the periodontal situation in patients with pathologic migration by providing good function and improved esthetics after realignment.

It is generally recommended that orthodontic treatment should be preceded by periodontal therapy. In fact, orthodontic treatment when there is an inflammation/periodontal defect can lead to irreversible breakdown of the periodontal system.

According to this principle, we decided to cover the root exposure on element 16. Obviously, the corticotomized area was also covered by Bio Oss and bone chips.

This corrective phase was completed before the orthodontic treatment.

Finally, the implant surgery using the piezo device took place. Dental implants have become predictable and reliable adjuncts for oral rehabilitation.

In this case, no GBR or other sensitive surgical techniques were necessary before or during implant placement.

In our opinion, the piezo device’s versatility offers advantages in implant surgery and improves implant prognosis.

A multidisciplinary therapy is usually an expensive and long-term treatment. In this case, the corticotomy performed by the piezo device, as well as precise and flowable planning without any clinical complications, allowed treatment acceleration so it could be tolerated more easily by the patient.

Multidisciplinary management, including endodontic and restorative dentistry, periodontics, corticotomy-assisted orthodontics, implants, and prosthetics, was used for a young female patient with multiple missing teeth, anterior deep bite, and a malocclusion with cant of the occlusal plane. The interaction of interdisciplinary specialties and careful treatment planning were required. The patient also benefited esthetically from our effort.

The English in this document has been checked by at least two professional editors, both native speakers of English. 

Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.