scholarly journals Implant Site Development by Orthodontic Forced Eruption of Nontreatable Teeth: A Case Report

2012 ◽  
Vol 6 (1) ◽  
pp. 99-104 ◽  
Author(s):  
Amir Reza Rokn ◽  
Anna Saffarpour ◽  
Rouzbeh Sadrimanesh ◽  
Kaveh Iranparvar ◽  
Aida Saffarpour ◽  
...  

Background: Loss of bone and soft tissue attachment are common sequelae of periodontitis that may jeopardize the aesthetic outcome and compromise the functional and aesthetic outcomes of treatment. The following case report describes one of the most predictable techniques of vertical ridge augmentation, which is orthodontic extrusion or forced eruption of hopeless teeth. Method: A 34-year-old woman who presented with severe attachment loss and deep pockets was diagnosed with generalized aggressive periodontitis. The mobile maxillary incisors were consequently extracted and were replaced with dental implants. However, prior to extraction, orthodontic extrusion of the hopeless incisors was performed to correct vertical ridge defects. Following extrusion and extraction of the maxillary incisors, to prevent soft tissue collapse and to preserve the papillae during socket healing, the crowns of the extracted teeth were used as pontics on a removable partial provisional denture. After 8 weeks, the implants were placed, and an immediate functional restoration was delivered. After 4 months of healing, a fixed definitive partial prosthesis was fabricated and delivered. Result: After periodontal treatment, over a 2-year period, the progression of aggressive periodontitis was controlled. The mean vertical movement of marginal bone was 3.6 mm. The use of the crowns of extracted teeth appears to be an effective method to maintain papillae. Conclusions: Orthodontic extrusion is a predictable method for the correction of vertical ridge defects. Orthodontic treatment does not aggravate or hasten the progression of aggressive periodontitis.

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Shahabe A. Saquib ◽  
Mohammed Yunis S. Bhat ◽  
Mukhtar A. Javali ◽  
Shaheen V. Shamsuddin ◽  
Mohammed A. Khader

There are various causes for residual alveolar ridge defects, most common being the collapse of the cortical plate during extraction. Localized defects of alveolar ridge affect prosthetic restoration due to poor emergence profile of the pontic. Various soft tissue augmentation procedures have been recommended for the correction of these defects. Abrams’s roll technique has been widely used for soft tissue ridge augmentation in the maxillary anterior region where aesthetics is a prime concern. The original Abrams’s roll technique has been modified and revisited by many authors to overcome the limitations. The present clinical case report discusses the modified roll technique as an option to treat alveolar ridge deformity. The current procedure resulted in expectable ridge augmentation, uneventful healing, and good aesthetic outcome. Hence this modified technique can be selected for the treatment of mild to moderate Seibert class I ridge defects in the aesthetic zone.


2008 ◽  
Vol 9 (4) ◽  
pp. 99-106 ◽  
Author(s):  
Clemens Walter ◽  
Leonard Büttel ◽  
Roland Weiger

Abstract Aim The purpose of this report is to present the use of different soft tissue grafting procedures for surgical ridge augmentation. Background Multiple augmentative procedures may be indicated for the esthetic reconstruction of edentulous alveolar ridge deformities due to unpredictable shrinkage of augmented tissues. Report A 38-year-old woman with a moderate Class III alveolar ridge defect received periodontal plastic surgery treatment using a combined onlay-interpositional graft procedure and a subepithelial connective tissue graft. Summary This case illustrates the aesthetic reconstruction of a moderate alveolar ridge defect using a twostep approach. Clinical Significance Using different soft tissue grafting procedures might be helpful in planning and treating moderate alveolar ridge defects. The time for remodelling of the augmented tissues needs to be respected before the final prosthesis is placed. Citation Walter C, Büttel L, Weiger R. Localized Alveolar Ridge Augmentation Using a Two-step Approach with Different Soft Tissue Grafts: A Clinical Report. J Contemp Dent Pract 2008 May; (9)4:099-106.


2012 ◽  
Vol 2 (1) ◽  
pp. 41-43
Author(s):  
Dashrath Kafle ◽  
Reetu Shrestha ◽  
Binam Sapkota ◽  
Nisha Acharya

Trauma to the aesthetic region of the mouth is very common. However the treatment of the traumatic injuries of the tooth depends upon various factors. Orthodontic extrusion of the fractured tooth is regularly practiced treatment modality. Orthodontic extrusion of such tooth is physiological, less invasive and long lasting. The extrusion of the tooth brings enough dental tissue to maintain the biological width and ferrule later into restorative/prosthetic phase. In this article we will report a case which was extruded 4mm after endodontic treatment and restored by crown.


2011 ◽  
Vol 1 (1) ◽  
pp. 60-62
Author(s):  
Sandhya Shrestha ◽  
Rabindra M Shrestha ◽  
Marisha Dahal

Post endodontic restoration in cases of grossly destructed teeth are difficult as the available tooth structure is less, margins are subgingival and of compromised prognosis because the restoration might encroach upon the periodontium affecting its status to deteriorate. Interdisciplinary approach using forced eruption or Orthodontic extrusion along with minimal surgical crown lengthening can give adequate supragingival tooth surface for proper restoration and protect its root support from getting violated. This is the case report of an unsalvageable tooth that is restored to satisfactory functional and esthetic restoration utilizing interdisciplinary approach.


Author(s):  
Sharayu Nimonkar ◽  
Vikram Belkhode ◽  
Pranali Nimonkar ◽  
Seema Sathe ◽  
Surekha Godbole

AbstractProsthetic rehabilitation of atrophic ridges is always a challenging task, since treatment modalities, such as ridge augmentation and implant-retained complete dentures are not always feasible due to health reasons, cost factor, etc. This article describes a case report of constructing a liquid-supported denture using a simple, innovative laboratory procedure, which provides a soft tissue surface as compared with conventional complete dentures and added comfort to underlying tissues. It helps in preservation of residual ridge resorption by optimal distribution of masticatory forces and gives adequate retention stability and support.


2014 ◽  
Vol 08 (02) ◽  
pp. 269-275 ◽  
Author(s):  
Huseyin Gencay Keceli ◽  
Mustafa Baris Guncu ◽  
Zeynep Atalay ◽  
Mustafa Serdar Evginer

ABSTRACTA multidisciplinary approach to develop the future implant site in the aesthetic zone was illustrated. A patient with perio-endo combined lesion at her upper central incisors was treated. Before extraction, forced eruption was performed and 12 months later, satisfactory amount of bone apposition was detected. At 2 weeks after atraumatic extraction, implants were placed and loaded with implant-supported restorations following osseous healing. Variables related to crown dimensions, periodontal/peri-implanter soft-tissue health and patient's aesthetic satisfaction were recorded at baseline, before extraction and after prosthetic treatment. At 12-month control, crown dimensions in the implant site were identical to the baseline and in addition to the healthy peri-implant tissues, successful aesthetics were obtained. Forced eruption is a successful non-invasive method to develop the aesthetics of the peri-implant tissues and implant-supported restorations.


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