scholarly journals Orthodontic extrusion and implant site development: two case reports

2014 ◽  
Vol 17 (4) ◽  
pp. 125 ◽  
Author(s):  
Maria Ângela Lacerda Esper ◽  
Ana Carolina Salvia ◽  
Maria Tereza Pedrosa Albuquerque ◽  
Nelson Luiz Macedo
Keyword(s):  
Dental Implant ◽  
Root Resorption ◽  
Case Reports ◽  
Clinical Event ◽  
Central Incisor ◽  
Occlusal Contact ◽  
Site Development ◽  
Implant Placement ◽  
The Aesthetic ◽  
Orthodontic Extrusion

<p style="margin: 0cm 0cm 0pt; text-align: justify; line-height: 200%; -ms-text-justify: inter-ideograph;"><span style="line-height: 200%; font-family: 'Arial','sans-serif'; font-size: 12pt; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US;" lang="EN-US">The aim of this study was to report two cases of orthodontic extrusion performed prior to dental implant placement. The first one reports the case of a 57 year-old-female who presented internal root resorption in the left central incisor, and orthodontic extrusion of this element was indicated. The treatment lasted 24 weeks. At the end of this period, the dental implant was placed. The second clinical event refers to a patient of 66 years of age who had vertical fracture in the left central incisor. In this case, the orthodontic extrusion was conducted in 12 weeks. At the end of this period, the dental implant was placed and also the temporary crown, but without occlusal contact. Both cases reported consisted of the involvement of the left central incisor in the aesthetic area and low bone density. The cases reported demonstrated that orthodontic extrusion is a viable alternative to the aesthetic and functional reconstruction with prosthesis over dental implants.</span></p>

Adjunctive Orthodontic Applications in Dental Implantology

2015 ◽  
Vol 41 (4) ◽  
pp. 501-508 ◽  
Author(s):  
Ali Borzabadi-Farahani ◽  
Homayoun H. Zadeh
Keyword(s):  
Alveolar Bone ◽  
Case Reports ◽  
Traumatic Injury ◽  
Bone Volume ◽  
Randomized Controlled Clinical Trials ◽  
Orthodontic Therapy ◽  
Site Development ◽  
Implant Placement ◽  
Horizontal Augmentation ◽  
Orthodontic Extrusion

Implant placement is often necessitated for replacement of teeth with pathologically damaged alveolar bone due to periodontitis or traumatic injury. Surgical augmentation of resorbed bone has many limitations, including lower efficacy of vertical augmentation than horizontal augmentation, as well as morbidity associated with grafting procedure. Orthodontic therapy has been proposed as a useful method for augmenting the resorbed alveolar bone and reforming aesthetically appealing gingival margin, prior to implant placement. This narrative review summarizes the available evidence for the application of orthodontic strategies that can be used as adjunct in selected cases to augment bone volume for the future implant site and maintain space for the prosthetic parts of the implant. These are (1) orthodontic extrusion of compromised teeth to generate vertical bone volume and enhance gingival architecture, (2) tooth preservation and postponing orthodontic space opening to maintain bone volume in future implant site, (3) orthodontic implant site switching to eliminate the deficient bone volume or risky implant sites, and (4) the provision of a rigid fixed-bonded retainer to maintain the implant site. Although there are no randomized controlled clinical trials to evaluate the efficacy of orthodontic therapy for implant site development, clinical case reports and experience document the efficacy of orthodontic therapy for this application.

scholarly journals Glass Ionomer Subgingival Matrix Technique to Restore a Tooth with Severe Root Resorption for Implant Site Development

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Ahmad Y. Imam ◽  
Raghad A. Al-Dabbagh
Keyword(s):  
Functional Outcomes ◽  
Root Resorption ◽  
Patient Specific ◽  
Glass Ionomer ◽  
Advantages And Disadvantages ◽  
Site Development ◽  
Implant Placement ◽  
External Root Resorption ◽  
Orthodontic Extrusion ◽  
Specific Management

Here, we present the multidisciplinary, patient-specific management of a patient with severe external root resorption and bone loss in a maxillary anterior tooth. The tooth was provisionally noninvasively restored with glass ionomer subgingival matrix in preparation for forced orthodontic extrusion, papillary preservation, and implant placement. This approach enables clinicians to control infection within and around the resorbed tooth and then to use it as an anchor for slow forced tooth eruption to correct bone and mucogingival deformities. Aesthetic and functional outcomes were clinically and radiographically satisfactory. The advantages and disadvantages of this technique are discussed.

scholarly journals Diagnosis and treatment of extraction sockets in preparation for implant placement: report of three cases

2008 ◽  
Vol 19 (2) ◽  
pp. 159-164 ◽  
Author(s):  
Márcio José Rodrigues Barcelos ◽  
Arthur Belém Novaes Júnior ◽  
Marcio Baltazar Conz ◽  
Nassin David Harari ◽  
Guaracilei Maciel Vidigal Júnior
Keyword(s):  
Bone Defect ◽  
Root Resorption ◽  
Case Reports ◽  
Receptor Site ◽  
Wall Defect ◽  
Implant Placement ◽  
Immediate Implants ◽  
Immediate Implant ◽  
Defect Morphology ◽  
Subsequent Intervention

This article addresses diagnostic parameters that should be assessed in the treatment of extraction sockets with dental implant placement by presenting three case reports that emphasize the relevance of the amount of remaining bone walls. Diagnosis was based on the analysis of clinical and radiographic parameters (e.g.: bone defect morphology, remaining bone volume, presence of infections on the receptor site). Case 1 presents a 5-wall defect in the maxillary right central incisor region with severe root resorption, which was treated with immediate implant placement. Cases 2 and 3 present, respectively, two- and three-wall bone defects that did not have indication for immediate implants. These cases were first submitted to a guided bone regeneration (GBR) procedure with bone graft biomaterial and membrane barriers, and the implants were installed in a second surgical procedure. The analysis of the preoperative periodontal condition of the adjacent teeth and bone defect morphology is extremely important because these factors determine the choice between immediate implant or GBR treatment followed by implant installation in a subsequent intervention.

Dental implants in aesthetic zone – cases report

2021 ◽  
Vol 12 (47) ◽  
pp. 46-54
Author(s):  
Adel Martínez ◽  
Ángel Yamith Sánchez ◽  
Samuel Urbano Del-Valle
Keyword(s):  
Bone Regeneration ◽  
Dental Implants ◽  
Dental Implant ◽  
Traditional Approach ◽  
Dental Extraction ◽  
Insertion Torque ◽  
Second Phase ◽  
Central Incisor ◽  
The Aesthetic ◽  
Preservation Technique

Placement of dental implants in the aesthetic zone needs to be planned to consider both atraumatic tooth extraction and the preservation of the socket. The authors presented two clinical cases of patients with indication of dental extraction of the upper central incisor which was planned to use a two-armed lever as atraumatic alveolar preservation technique and managed in two different ways. Case one referred to a traditional approach that included dental extraction, guided bone regeneration, and provisionalization, with a period of healing of 6 months to enable the bone regeneration. Subsequently, it was placed a dental implant TSV 3.7*13 mm (Zimmer Dental). Five months after of clinical and radiographic controls, the second phase was started with the rehabilitation. The second case was about a patient who required dental extractions of maxillary left central incisor due to a fracture of the crown with a poor prognosis, in which the dental extraction was planned to use a two-armed lever. After reclassifying the fresh socket, a dental implant TSV of 3.7 x 13 mm (Zimmer Dental) was placed with modified drilling technique, implant placement resulted in primary fixation with insertion torque level lower than 30 Ncm so the immediate load was not performed. Both patients received a ceramic crown with functional and esthetic results after 16 months of continuous checks and controls. It was concluded that the alveolar preservation in the aesthetic zone is a strategy that starts from the extraction technique. The authors recommend the two-armed lever as atraumatic alveolar preservation technique and different ways to place dental implants.

scholarly journals Treatment modality of impacted central incisor associated with dentigerous cyst and compound odontome

2018 ◽  
Vol 8 (4) ◽  
pp. 61-64
Author(s):  
Bashu Raj Pandey ◽  
Sushil Subedi ◽  
Bijayata Shrestha ◽  
Rajib Chaulagain
Keyword(s):  
Rare Case ◽  
Case Reports ◽  
Dentigerous Cyst ◽  
Traction Force ◽  
Dental Practice ◽  
Central Incisor ◽  
Successful Management ◽  
Impacted Tooth ◽  
Orthodontic Extrusion ◽  
Labial Surface

Impacted tooth is frequently encountered in dental practice. But the impacted tooth associated with supernu­merary tooth and dentigerous cyst in anterior region is very rare case. The present case reports the successful management of impacted right central incisor with multiple odontome and dentigerous cyst by surgical inter­vention and orthodontic extrusion. Close eruption technique was applied after enucleation of cyst and extrac­tion of odontome. Thirty grams traction force was applied after bonding in the labial surface of impacted tooth. Subsequently fixed orthodontic technique was applied to get impacted central incisor into occlusion.

scholarly journals Dental implant displacement into the mandibular body: a case report

2021 ◽  
Vol 10 (13) ◽  
pp. e203101320978
Author(s):  
Gustavo Augusto Grossi-Oliveira ◽  
Stéfany Barbosa ◽  
Eduardo Dallazen ◽  
Ana Maira Pereira Baggio ◽  
Stefani Caroline Ferrioli ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Dental Implant ◽  
Case Reports ◽  
Primary Stability ◽  
Panoramic Radiograph ◽  
Type Iv ◽  
Implant Placement ◽  
Mandibular Body ◽  
Quality Type ◽  
Implant Displacement

              Posterior mandible region is considered a highly predicable place for primary stability during dental implant placement. Although, this region can present a significant decrease in bone density, which can lead to implant dislocation during insertion. The present case reports an unusual dislocation of dental implant in a 59 old healthy patient's mandible and a secure solution for this kind of complication. During the drilling, bone quality type IV was observed. In sequence, implant was abruptly inserted in the perforation site and dropped into the bone marrow. Panoramic radiograph showed the implant inside bone marrow, close to mandibular base. The implant was removed through the surgical site. The screw of the implant prosthesis transfer was used to reach the displaced implant. A second implant with the same dimensions as the first one, differing by the external hexagon, was inserted into the same implant site. Therefore, the authors strongly recommend the use of the presented technique prior to osteotomy on mandibular body, reserving the second in the impossibility of reaching the internal connection of the displaced implant.

scholarly journals Flapless Immediate Implant Placement and Provisionalization (FIIPP) in the Aesthetic Region: Surgical Protocol of a Prospective Clinical Cohort Study on 100 Patients – Two Case Reports: Intact Socket, and Defect Socket with a Thin Gingival Phenotype

2021 ◽  
pp. 1-5
Author(s):  
Edith Groenendijk ◽  
Edith Groenendijk ◽  
Gert Jacobus Meijer
Keyword(s):  
Cohort Study ◽  
Bone Defect ◽  
Case Reports ◽  
Treatment Method ◽  
Aesthetic Outcome ◽  
Clinical Cohort ◽  
Implant Placement ◽  
Immediate Implant ◽  
The Aesthetic ◽  
Gingival Phenotype

Background: Immediate implant placement and provisionalization (IIPP) is considered as a high-risk treatment for aesthetic failure and generally only recommended in case of post-extraction intact sockets and a thick phenotype gingiva. During a prospective clinical cohort study on one-hundred consecutive patients, using this strict flapless immediate implant placement and provisionalization (FIIPP) protocol, we found high and stable aesthetic outcomes (WES/PES = 8.2/12.1) in both intact – and defect sockets, and both thin- as thick gingival phenotype. By means of one case report (Case 1), the total FIIPP treatment is illustrated. Results of two other cases, show that comparable high aesthetic outcomes can be reached in cases with a thin phenotype gingiva or buccal bone defect using the same protocol. Case Presentation: In a 24-year-old male with good general and oral health, root fracture of tooth 21 was diagnosed and FIIPP was indicated. Direct post-extraction, an implant was placed in a palatal position of an intact socket by a flapless approach. A minimum space of 2 mm in front of the implant was created and filled with a bone-substitute prior to implant placement. Subsequently, the implant was restored by use of a titanium abutment and a composite temporary crown. Three months later, the temporary crown was replaced by a customized zirconium abutment and ceramic crown resulting in a high aesthetic outcome. A comparable aesthetic outcome using this protocol can be reached in cases with a thin phenotype gingiva and/or a buccal bone defect (Case 2). Conclusion: Using described surgical FIIPP protocol, high aesthetic outcomes are reached in only 4 visits and within a treatment period of 4 months. A thin phenotype gingiva, or a pre-operative buccal bone defect, does not seem to affect the aesthetic outcome using this treatment method.

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