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 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.
Assistant professor, Department of Social Dentistry, Araraquara Dental School, Univ. Estadual Paulista, Araraquara, São Paulo, Brazil.
Luiz Antonio Borelli
LA
de Barros
Maurício
M
de Almeida Cardoso
Erica Dorigatti
ED
de Avila
Rafael Scaf
RS
de Molon
Danilo Furquim
DF
Siqueira
Francisco de Assis
Fde A
Mollo-Junior
Leopoldino
L
Capelloza Filho
D016301:Alveolar Bone Loss / Q000150:complications* / Q000628:therapy; D002508:Cephalometry; D003758:Dental Implantation, Endosseous; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D005889:Gingival Recession / Q000150:complications; D006801:Humans; D007180:Incisor / Q000473:pathology / Q000601:surgery; D008437:Maxilla; D008875:Middle Aged; D050793:Orthodontic Extrusion / Q000379:methods*; D010348:Patient Care Team; D014081:Tooth Extraction / Q000379:methods