Orthodontic extrusion and implant site development using an interocclusal appliance for a severe mucogingival deformity: A clinical report
Section snippets
Clinical Report
A 30-year-old white woman was referred to the Department of Periodontology at the Pontifical Catholic University of Paraná, Brazil. The patient reported having successive scaling and root planing procedures, to treat localized severe periodontitis in the area of the maxillary anterior teeth.
Periodontal examination revealed Class II recession in the right maxillary canine, a severe loss of attachment, and Class IV recession in the right maxillary lateral and central incisors with a reduced width
Discussion
Periodontal disease with bone and tissue loss in the anterior region affects esthetics and may result in low self-esteem. This situation encourages patients to seek a treatment solution. Unfortunately, typical periodontal regeneration procedures and mucogingival therapy do not have entirely predictable outcomes, especially in relation to interproximal bone and tissue loss. The complexity of the clinical findings and predictability of the conventional therapies suggest that a multidisciplinary
Summary
This clinical report describes the use of orthodontic tooth extrusion for regeneration of soft tissue and alveolar bone, and demonstrates the benefit of orthodontic tooth extrusion for developing the implant site. Clinical and radiographic follow-up is presented, which gives clear evidence of successful tooth replacement and improved esthetic appearance that was achieved by multidisciplinary treatment.
References (26)
Clinical and histologic observations on tooth movement during and after orthodontic treatment
Am J Orthod
(1967)- et al.
Vertical extrusion using a removable orthodontic appliance
J Am Dent Assoc
(1988) - et al.
Orthodontic extrusion: a multidisciplinary treatment approach
J Am Dent Assoc
(1981) - et al.
Forced eruption in crown-lengthening procedure
J Prosthet Dent
(1986) - et al.
Forced eruption and implant treatment in posterior maxilla: a clinical report
J Prosthet Dent
(2007) - et al.
Restoration of a nonrestorable central incisor using forced orthodontic eruption, immediate implant placement, and an all-ceramic restoration: a clinical report
J Prosthet Dent
(2007) A technique for recording centric relation
J Prosthet Dent
(1964)A classification of marginal tissue recession
Int J Periodontics Restorative Dent
(1985)Forced eruption: Alteration of soft tissue cosmetic deformities
Int J Periodontics Restorative Dent
(1989)
The effect of orthodontic therapy on certain types of periodontal defects. I. Clinical findings
J Periodontol
Forced eruption. I. A method of treating isolated one and two wall infrabony osseous defects–rationale and case report
J Periodontol
Isolated vertical infrabony defects treated by orthodontic tooth extrusion
Angle Orthod
Cited by (15)
Alternative treatment approach for anterior subgingival dental lesions: Forced eruption using attractive magnets
2020, American Journal of Orthodontics and Dentofacial OrthopedicsAn efficient and noncompliant method for forced eruption with microimplants that is bracket free, and its long-term stability
2019, Journal of the American Dental AssociationImplementation of orthodontic extraction for pre-implant soft tissue management: A systematic review
2019, International OrthodonticsCitation Excerpt :Five out of these six cases received a follow-up at respectively 3, 4, 6 and 7 years post-implantation; all had a retention period, and reported a stable bone level. The sixth case [23], with no retention period, unfortunately does not allow a comparison of the bone level between the day of implant placement and the control visit at 5 years, because no radiograph was taken on the day of the implant placement. Therefore, we were unable to conclude on a possible difference, at medium and at long-term, related to the tissue augmentation achieved with or without a retention period before surgical extraction.
Resolution of complex esthetic problems in abnormal anterior teeth: A clinical report
2014, Journal of Prosthetic DentistryCitation Excerpt :They were discarded because of the risk of an unpredictable esthetic outcome, concerns regarding the long-term stability of the gingival tissues, and cost.10,11 Endodontic treatment was performed to allow for the orthodontic extrusion (Fig. 2A), which was carried out to position the hard and soft tissues more coronally12 to correct the gingival contour (Fig. 2B). The size of the right maxillary lateral incisor coronal portion of the root and the clinical crown was reduced.
Orthodontic single tooth intrusion with a removable interocclusal device: A clinical report
2013, Journal of Prosthetic DentistryForced Eruption for Implant Site Development Utilizing a CAD/CAM Provisional Fixed Dental Prosthesis: A Case Report
2023, International Journal of Periodontics and Restorative Dentistry