Elongated and spaced incisors are common in patients suffering from se
vere peridontal disease. Intrusion and uprighting of incisors might be
the logical solution for this problem. This article describes a team
approach to treatment planning for adult patients with severe localize
d periodontitis accompanied by marginal bone loss and spacing and elon
gation of incisors. The treatment involves the combination of periodon
tal treatment, orthodontic intrusion, and prosthetic therapy. Controll
ed intrusion in two patients led to a decrease in the clinical crown l
ength, better access for oral hygiene procedures, better gingival form
, and a more suitable distribution of occlusal forces.