Integrated Periodontal, Endodontic, and Prosthodontic Rehabilitation of Compromised Teeth: A Multidisciplinary Case Report

Abstract

The preservation of structurally compromised teeth remains one of the most challenging objectives in contemporary dentistry. Advances in periodontal regeneration, endodontic surgery, biomaterials, and prosthodontic rehabilitation have significantly expanded the possibilities for retaining teeth that were previously considered hopeless. The present article examines the role of integrated periodontal, endodontic, and prosthodontic rehabilitation in the management of compromised teeth through a multidisciplinary framework supported by available evidence and a representative clinical case model. The study synthesizes current knowledge regarding periodontal regeneration, furcation management, hemisection procedures, apical surgery, regenerative biomaterials, and restorative rehabilitation strategies. A comprehensive review of the literature demonstrates that successful outcomes depend on accurate diagnosis, interdisciplinary treatment planning, biological preservation, and long-term maintenance. The proposed case-based analysis illustrates how coordinated management can restore function, aesthetics, and periodontal stability while avoiding premature extraction. Findings indicate that multidisciplinary rehabilitation provides predictable clinical outcomes when biological, mechanical, and restorative principles are integrated. The study highlights the importance of individualized treatment planning, regenerative technologies, and collaborative decision-making in extending tooth longevity. The article contributes to the growing evidence supporting conservative tooth preservation as a viable alternative to extraction and replacement therapy.