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Patient presented with her upper left central incisor flared labially out of the mouth.
1) Front view photo. 2) Side view photo. 3) Occlusal view photo. 4) x-ray, radiograph. The patient, who was in her twenties, was informed about the severe periodontal gum condition and that the prognosis for this tooth was guarded at best. She was informed that a thorough check-up was indicated. Orthodontics, braces, is contra-indicated here because of the severe periodontal problem. Treatment, if the patient accepts treatment on a tooth with a guarded prognosis, could include: scaling and root planing, open flap debridement if necessary, root canal therapy and crown (for aesthetics) and possibly a splint. Treatment, otherwise, could include just scaling and root planing and incisal adjustment. I personally would not rush to extract this tooth though the patient needs to be aware of this possibility.