Optimizing Maxillary Aesthetics of a Severe Compromised Tooth Through Orthodontic Movement and Dental Implants

Overview

Journal Case Rep Dent

Publisher Wiley

Specialty Dentistry

Date 2014 Feb 14

PMID 24523969

Citations 8

Authors

Rafael Scaf de Molon

Erica Dorigatti de Avila

Joni Augusto Cirelli

Mauricio de Almeida Cardoso

Leopoldino Capelozza-Filho

Luiz Antonio Borelli Barros

Affiliations

Soon will be listed here.

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.

Citing Articles

State of the Art in the Treatment of Congenital Agenesis With Implant-Supported Prosthesis: A Comprehensive Multidisciplinary Management.

Oliveira G, Pelegrine H, Barros-Filho L, de Almeida Cardoso M, Ricci W, Barros L Case Rep Dent. 2024; 2024:5901688.

PMID: 39450148 PMC: 11502131. DOI: 10.1155/2024/5901688.

Rehabilitation of Malpositioned Implant in the Anterior Region With Customized Abutment.

Pathak A, Dhamande M, Sathe S, Bhoyar A, Gujjelwar S Cureus. 2024; 15(12):e50450.

PMID: 38222124 PMC: 10784758. DOI: 10.7759/cureus.50450.

A Prosthetic and Surgical Approach for Full-Arch Rehabilitation in Atrophic Maxilla Previously Affected by Peri-Implantitis.

Pavanelli A, de Avila E, Barros-Filho L, de Assis Mollo Junior F, Cirelli J, Barros L Case Rep Dent. 2021; 2021:6637500.

PMID: 33859846 PMC: 8026321. DOI: 10.1155/2021/6637500.

Facial and occlusal esthetic improvements of an adult skeletal Class III malocclusion using surgical, orthodontic, and implant treatment.

de Almeida Cardoso M, de Molon R, de Avila E, Guedes F, Battilani Filho V, Filho L Korean J Orthod. 2016; 46(1):42-54.

PMID: 26877982 PMC: 4751301. DOI: 10.4041/kjod.2016.46.1.42.

Single-tooth morse taper connection implant placed in grafted site of the anterior maxilla: clinical and radiographic evaluation.

Mangano F, Zecca P, Luongo F, Iezzi G, Mangano C Case Rep Dent. 2014; 2014:183872.

PMID: 25431687 PMC: 4238176. DOI: 10.1155/2014/183872.

References

de Molon R, Morais-Camilo J, Verzola M, Faeda R, Pepato M, Marcantonio Jr E . Impact of diabetes mellitus and metabolic control on bone healing around osseointegrated implants: removal torque and histomorphometric analysis in rats. Clin Oral Implants Res. 2012; 24(7):831-7. DOI: 10.1111/j.1600-0501.2012.02467.x. View

de Molon R, de Avila E, Cirelli J . Host responses induced by different animal models of periodontal disease: a literature review. J Investig Clin Dent. 2012; 4(4):211-8. DOI: 10.1111/jicd.12018. View

de Avila E, de Molon R, de Assis Mollo Jr F, de Barros L, Filho L, de Almeida Cardoso M . Multidisciplinary approach for the aesthetic treatment of maxillary lateral incisors agenesis: thinking about implants?. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012; 114(5):e22-8. DOI: 10.1016/j.oooo.2011.09.023. View

de Molon R, de Avila E, de Souza J, Nogueira A, Cirelli C, Cirelli J . Combination of orthodontic movement and periodontal therapy for full root coverage in a Miller class III recession: a case report with 12 years of follow-up. Braz Dent J. 2013; 23(6):758-63. DOI: 10.1590/s0103-64402012000600022. View

de Molon R, de Avila E, Nogueira A, de Souza J, Avila-Campos M, de Andrade C . Evaluation of the host response in various models of induced periodontal disease in mice. J Periodontol. 2013; 85(3):465-77. DOI: 10.1902/jop.2013.130225. View

de Molon R, de Avila E, de Souza J, Nogueira A, Cirelli C, Margonar R . Forced orthodontic eruption for augmentation of soft and hard tissue prior to implant placement. Contemp Clin Dent. 2013; 4(2):243-7. PMC: 3757892. DOI: 10.4103/0976-237X.114876. View

Iasella J, Greenwell H, Miller R, Hill M, Drisko C, Bohra A . Ridge preservation with freeze-dried bone allograft and a collagen membrane compared to extraction alone for implant site development: a clinical and histologic study in humans. J Periodontol. 2003; 74(7):990-9. DOI: 10.1902/jop.2003.74.7.990. View

Esposito M, Grusovin M, Polyzos I, Felice P, Worthington H . Timing of implant placement after tooth extraction: immediate, immediate-delayed or delayed implants? A Cochrane systematic review. Eur J Oral Implantol. 2010; 3(3):189-205. View

Savi A, Turillazzi O, Pizzi S, Bonanini M, Manfredi M . Therapeutic management for post-traumatic treatment of the anterior dental region: a case report with long-term follow up. Dent Traumatol. 2011; 29(3):234-7. DOI: 10.1111/j.1600-9657.2011.01065.x. View

10.

Mijiritsky E, Mardinger O, Mazor Z, Chaushu G . Immediate provisionalization of single-tooth implants in fresh-extraction sites at the maxillary esthetic zone: up to 6 years of follow-up. Implant Dent. 2009; 18(4):326-33. DOI: 10.1097/ID.0b013e31819ecaaa. View

11.

Lorenzoni M, Pertl C, Zhang K, Wimmer G, Wegscheider W . Immediate loading of single-tooth implants in the anterior maxilla. Preliminary results after one year. Clin Oral Implants Res. 2003; 14(2):180-7. DOI: 10.1034/j.1600-0501.2003.140207.x. View

12.

de Barros L, de Almeida Cardoso M, de Avila E, de Molon R, Siqueira D, Mollo-Junior F . Six-year follow-up of maxillary anterior rehabilitation with forced orthodontic extrusion: achieving esthetic excellence with a multidisciplinary approach. Am J Orthod Dentofacial Orthop. 2013; 144(4):607-15. DOI: 10.1016/j.ajodo.2012.10.027. View

13.

Nemcovsky C, Beny L, Shanberger S, Feldman-Herman S, Vardimon A . Bone apposition in surgical bony defects following orthodontic movement: a comparative histomorphometric study between root- and periodontal ligament-damaged and periodontally intact rat molars. J Periodontol. 2004; 75(7):1013-9. DOI: 10.1902/jop.2004.75.7.1013. View

14.

Vignoletti F, Matesanz P, Rodrigo D, Figuero E, Martin C, Sanz M . Surgical protocols for ridge preservation after tooth extraction. A systematic review. Clin Oral Implants Res. 2012; 23 Suppl 5:22-38. DOI: 10.1111/j.1600-0501.2011.02331.x. View

15.

Schropp L, Wenzel A, Kostopoulos L, Karring T . Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent. 2003; 23(4):313-23. View

16.

Nemcovsky C, Sasson M, Beny L, Weinreb M, Vardimon A . Periodontal healing following orthodontic movement of rat molars with intact versus damaged periodontia towards a bony defect. Eur J Orthod. 2007; 29(4):338-44. DOI: 10.1093/ejo/cjm015. View

17.

de Molon R, de Avila E, Cirelli J, de Assis Mollo Jr F, de Andrade M, Filho L . A Combined Approach for the Treatment of Resorbed Fresh Sockets Allowing Immediate Implant Restoration: A 2-Year Follow-Up. J Oral Implantol. 2013; 41(6):712-8. DOI: 10.1563/AAID-JOI-D-13-00140. View