title: An interdisciplinary treatment approach combining orthodontic forced eruption with immediate implant placement to achieve a satisfactory treatment outcome: a case report.
abstract: BACKGROUND
  Periodontal disease often results in severely bony defects around the teeth and leads to eventual extraction. Remaining bone morphology often compromises ideally restoration-driven positions and deteriorates the success rates for dental implants.
  
  
  OBJECTIVE
  The present investigation illustrates the clinical outcome of immediately installing an implant following orthodontic forced eruption and atraumatic extraction.
  
  
  METHODS
  The subject of this study is a 40-year-old Asian female with a right mandibular first molar that had a deep probing depth on the mesial side and mobility. Via the aid of radiographic examination, the tooth that had an angular bony defect and apical lesion was diagnosed as having deep caries and chronic periodontitis with a poor prognosis. After consultation with the patient, we developed a treatment plan incorporating a forced eruption with immediate implantation, intended to augment the alveolar bone volume and increase the width of keratinized gingivae, in a nonsurgical manner.
  
  
  RESULTS
  Following 12 months of orthodontic treatment, the tooth was successfully moved occlusally in conjunction with an 8 mm vertical interdental bone augmentation. Because of sufficient volume of bone and satisfactory gingival dimensions, the implant showed adequate initial stability in the correct position to facilitate physiological and aesthetic prerequisites. After 6 months of osteointegration, a customized impression coping was utilized to transfer the established emergence profile to a definitive cast for the fabrication of a customized abutment. The final prosthesis was made using a customized metal abutment and ceramometal crown.
  
  
  CONCLUSIONS
  In the face of difficult clinical challenges, meticulous inspection and a comprehensive treatment plan were crucial. Interdisciplinary treatment through the careful integration of multiple specialists suggests the possibility of optimal results with high predictability.
authors: Attending staff of Division of Periodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
authors: Yu-Hsiang
authors: YH
authors: Chou
authors: attending staff of Division of Prosthodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
authors: Je-Kang
authors: JK
authors: Du
authors: attending staff of Division of Orthodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
authors: Szu-Ting
authors: ST
authors: Chou
authors: chief resident of Division of Periodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
authors: Kai-Fang
authors: KF
authors: Hu
authors: professor of College of Oral Medicine, Chung Shan Medical University, Taichung, Taiwan.
authors: Chi-Cheng
authors: CC
authors: Tsai
authors: chairman of Division of Periodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, and associate professor of School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors: Kun-Yen
authors: KY
authors: Ho
authors: attending staff of Division of Periodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, and associate professor of School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors: Yi-Min
authors: YM
authors: Wu
authors: attending staff of Division of Periodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, and assistant professor of School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors: Ya-Ping
authors: YP
authors: Ho
mesh_terms: D000328:Adult; D000540:Alveolar Ridge Augmentation; D003442:Crowns; D000044:Dental Abutments; D057087:Dental Atraumatic Restorative Treatment; D003758:Dental Implantation, Endosseous; D005260:Female; D006801:Humans; D050793:Orthodontic Extrusion; D010348:Patient Care Team; D010485:Periapical Periodontitis / Q000601:surgery*; D014081:Tooth Extraction / Q000379:methods*; D020390:Tooth Socket / Q000601:surgery