Preservation and augmentation of tissues by orthodontic extrusion, implants placement with provisionalization with natural teeth and rehabilitation in aesthetic area
Introduction:
The evolution in the fields of periodontics, implantology and aesthetics, has forced us to
select the best treatment option to satisfy the patient’s need.
To consider of extracting a dental piece implies carrying out a tissue preservation procedure, since the loss of periodontal tissue (Schropp et al., 2003) after extraction could be irreversible, making it impossible to place an implant and compromising the results.
We must consider the remaining tissues of evicted teeth (Cardaropoli & Stefania, 2005), as factors that could favor the final result.
Orthodontic movements improve periodontal tissues, which is why we consider the forced orthodontic extrusion technique for the upper central incisors. This technique was described in the 70s by Browns and Ingbers (among others), and recovered by Salama & Salama (1993), and Maino (2005), who mentioned the potential of the vertical augmentation in the area to be implanted.
Clinical case:
66 year old female patient, presented to my private practice, by indication of her General Dentist. Her chief complain was bad aesthetics, and mobility she felt in her teeth. The situation made her feel insecure about her smile.
Diagnosis:
When performing oral examinations, it was found that the patient presented short roots in upper central incisors, interdental bone loss and mobility grade II.
Treatment:
