title: Optimizing Maxillary Aesthetics of a Severe Compromised Tooth through Orthodontic Movement and Dental Implants.
abstract: Treatment of severe compromised tooth in the maxillary anterior area still poses great challenge to the clinicians. Several treatment modalities have been proposed to restore the function and aesthetics in teeth with advanced periodontal disease. The present study aims to report a case of traumatic injury of a left-maxillary central incisor with ridge preservation, orthodontic movement, and implant therapy. A 45-year-old woman underwent the proposed treatment for her left central incisor: basic periodontal therapy, xenogenous bone graft, and guided bone regeneration (GBR). Six months after the graft procedure, orthodontic movement by means of alignment and leveling was made and a coronal displacement of the gingival margin and vertical bone apposition could be observed after 13 months of active movement. Afterwards, a dental implant was placed followed by a connective tissue graft and immediate provisionalization of the crown. In conclusion, orthodontic movement was effective to improve the gingival tissue and alveolar bone prior to implant placement favoring the aesthetic results. Six years postoperatively, the results revealed height and width alveolar bone gain indicating that the treatment proposed was able to restore all the functional and aesthetic parameters.
authors: Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, Brazil.
authors: Rafael Scaf
authors: 0000-0003-1110-6233
authors: RS
authors: de Molon
authors: Department of Dental Materials and Prosthodontics, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, Brazil.
authors: Erica Dorigatti
authors: ED
authors: de Avila
authors: Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, Brazil.
authors: Joni Augusto
authors: JA
authors: Cirelli
authors: Discipline of Orthodontics, University of Sagrado Coração, Rua Irmã Arminda 10-50, 17011-160 Bauru, SP, Brazil.
authors: Mauricio de Almeida
authors: Mde A
authors: Cardoso
authors: Discipline of Orthodontics, University of Sagrado Coração, Rua Irmã Arminda 10-50, 17011-160 Bauru, SP, Brazil.
authors: Leopoldino
authors: L
authors: Capelozza-Filho
authors: Department of Social Dentistry, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, Brazil.
authors: Luiz Antonio
authors: LA
authors: Borelli Barros