Six-year follow-up of maxillary anterior rehabilitation with forced orthodontic extrusion: Achieving esthetic excellence with a multidisciplinary approach

Orthodontic extrusion with multidisciplinary treatment can provide predictable outcomes in selected situations, reducing the costs and the adaptation times of gingival tissues after implant integration. Forced orthodontic extrusion is strongly related to interactions of teeth with their supportive p...

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Published in:American journal of orthodontics and dentofacial orthopedics 2013-10, Vol.144 (4), p.607-615
Main Authors: de Barros, Luiz Antonio Borelli, de Almeida Cardoso, Maurício, de Avila, Érica Dorigatti, de Molon, Rafael Scaf, Siqueira, Danilo Furquim, Mollo-Junior, Francisco de Assis, Capelloza Filho, Leopoldino
Format: Article
Language:English
Subjects:
Alveolar Bone Loss - complications
Alveolar Bone Loss - therapy
Cephalometry
Dental Implantation, Endosseous
Dentistry
Esthetics, Dental
Female
Follow-Up Studies
Gingival Recession - complications
Humans
Incisor - pathology
Incisor - surgery
Maxilla
Middle Aged
Orthodontic Extrusion - methods
Patient Care Team
Tooth Extraction - methods
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Summary:Orthodontic extrusion with multidisciplinary treatment can provide predictable outcomes in selected situations, reducing the costs and the adaptation times of gingival tissues after implant integration. Forced orthodontic extrusion is strongly related to interactions of teeth with their supportive periodontal tissues. This article reports a case of orthodontic extrusion of the maxillary incisors for later implant rehabilitation in a patient with periodontal disease. Slow forces were applied for 14 months. After this time, the teeth were extracted, and the implants were placed on the same day. Also in the same session, the provisional crown was fabricated for restoration of the anterior maxillary interdental papillae loss and for gingival contouring. Clinical and radiographic examinations at the 6-year follow-up showed successful tooth replacement and an improved esthetic appearance achieved by this multidisciplinary treatment. The decision to perform orthodontic extrusion for implant placement in adult patients should be multidisciplinary.
ISSN:0889-5406
1097-6752
DOI:10.1016/j.ajodo.2012.10.027