From Single-Tooth Dentistry to Comprehensive Care Using Systematic Principles.

Often times patients present with an immediate concern, however other underlying problems may exist that might also need to be addressed in order to fully resolve the issue. In this case report, a patient presented for a limited examination and immediate treatment of a fractured mandibular right molar. She also had concerns regarding tooth wear, other fractures, and esthetics. Her high smile line revealed uneven gingival margins and a "black triangle" between teeth Nos. 9 and 10. A detailed evaluation uncovered historical temporomandibular joint changes, occlusal dysfunction, and biomechanical risks stemming from extensive restorations. Using an established systematic approach, a comprehensive treatment plan was designed to address the patient's cosmetic desires and functional issues, reduce her biomechanical risks, and create symmetrical gingival tissue to achieve a beautiful smile.