Adjunctive Orthodontic Applications in Dental Implantology

2015 ◽  
Vol 41 (4) ◽  
pp. 501-508 ◽  
Author(s):  
Ali Borzabadi-Farahani ◽  
Homayoun H. Zadeh
Keyword(s):  
Alveolar Bone ◽  
Case Reports ◽  
Traumatic Injury ◽  
Bone Volume ◽  
Randomized Controlled Clinical Trials ◽  
Orthodontic Therapy ◽  
Site Development ◽  
Implant Placement ◽  
Horizontal Augmentation ◽  
Orthodontic Extrusion

Implant placement is often necessitated for replacement of teeth with pathologically damaged alveolar bone due to periodontitis or traumatic injury. Surgical augmentation of resorbed bone has many limitations, including lower efficacy of vertical augmentation than horizontal augmentation, as well as morbidity associated with grafting procedure. Orthodontic therapy has been proposed as a useful method for augmenting the resorbed alveolar bone and reforming aesthetically appealing gingival margin, prior to implant placement. This narrative review summarizes the available evidence for the application of orthodontic strategies that can be used as adjunct in selected cases to augment bone volume for the future implant site and maintain space for the prosthetic parts of the implant. These are (1) orthodontic extrusion of compromised teeth to generate vertical bone volume and enhance gingival architecture, (2) tooth preservation and postponing orthodontic space opening to maintain bone volume in future implant site, (3) orthodontic implant site switching to eliminate the deficient bone volume or risky implant sites, and (4) the provision of a rigid fixed-bonded retainer to maintain the implant site. Although there are no randomized controlled clinical trials to evaluate the efficacy of orthodontic therapy for implant site development, clinical case reports and experience document the efficacy of orthodontic therapy for this application.

scholarly journals Orthodontic extrusion and implant site development: two case reports

2014 ◽  
Vol 17 (4) ◽  
pp. 125 ◽  
Author(s):  
Maria Ângela Lacerda Esper ◽  
Ana Carolina Salvia ◽  
Maria Tereza Pedrosa Albuquerque ◽  
Nelson Luiz Macedo
Keyword(s):  
Dental Implant ◽  
Root Resorption ◽  
Case Reports ◽  
Clinical Event ◽  
Central Incisor ◽  
Occlusal Contact ◽  
Site Development ◽  
Implant Placement ◽  
The Aesthetic ◽  
Orthodontic Extrusion

<p style="margin: 0cm 0cm 0pt; text-align: justify; line-height: 200%; -ms-text-justify: inter-ideograph;"><span style="line-height: 200%; font-family: 'Arial','sans-serif'; font-size: 12pt; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US;" lang="EN-US">The aim of this study was to report two cases of orthodontic extrusion performed prior to dental implant placement. The first one reports the case of a 57 year-old-female who presented internal root resorption in the left central incisor, and orthodontic extrusion of this element was indicated. The treatment lasted 24 weeks. At the end of this period, the dental implant was placed. The second clinical event refers to a patient of 66 years of age who had vertical fracture in the left central incisor. In this case, the orthodontic extrusion was conducted in 12 weeks. At the end of this period, the dental implant was placed and also the temporary crown, but without occlusal contact. Both cases reported consisted of the involvement of the left central incisor in the aesthetic area and low bone density. The cases reported demonstrated that orthodontic extrusion is a viable alternative to the aesthetic and functional reconstruction with prosthesis over dental implants.</span></p>

scholarly journals Staged Osteotome Sinus Floor Elevation for Progressive Site Development and Immediate Implant Placement in Severely Resorbed Alveolar Bone: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Saad Al-Almaie
Keyword(s):  
Case Report ◽  
Bone Grafting ◽  
Alveolar Bone ◽  
Lateral Approach ◽  
Sinus Floor Elevation ◽  
Site Development ◽  
Implant Placement ◽  
Initial Stability ◽  
Sinus Floor ◽  
Osteotome Sinus Floor Elevation

This case report discusses osteotome sinus floor elevation (OSFE) and immediate placement in 2 stages in severely resorbed alveolar bone height in which multiple implant placement is not otherwise feasible due to a lack of initial stability. The first implant placed using OSFE without bone grafting prepares the adjacent resorbed sites for further implant placement in the sinus areas, which allows for better initial stability and early functional loading. This process avoids the conventional extensive lateral approach for sinus lifting and bone grafting procedures even in extremely resorbed alveolar bone.

scholarly journals Alveolar Bone Augmentation

2014 ◽  
Vol 614 ◽  
pp. 89-94 ◽  
Author(s):  
Cena Dimova ◽  
Kiro Papakoca ◽  
Velko Papakoca
Keyword(s):  
Dental Implant ◽  
Tooth Extraction ◽  
Alveolar Bone ◽  
Bone Volume ◽  
The Body ◽  
Surgical Reconstruction ◽  
Bone Augmentation ◽  
Alveolar Ridge Augmentation ◽  
Ridge Augmentation ◽  
Implant Placement

Bones and teeth are the only structureswithin the body where calciumandphosphate participate asfunctional pillars. Despite their mineralnature, both organs are vital and dynamic. The aim was to remark the indications for alveolar augmentation after tooth extraction and prior the placement of endoosseous dental implants. The autograft, allograft, alloplast, and xenograftmaterials all have reported success, alone or in combination,for particulate bone augmentation. Theparticulate autograft is the gold standard for mostcraniofacial bone grafting, including the treatmentof dental implant–related defects. Advantages of alveolar ridge augmentation with sufficient bone volume to adjust for uncompromised and esthetic implant placement, renders these procedures more than effective for majority of patients. Surgical reconstruction of the tissues and the procedure of ridge augmentation and subsequent placement of dental implant are necessary.

scholarly journals Horizontal Ridge Augmentation and Contextual Implant Placement with a Resorbable Membrane and Particulated Anorganic Bovine Bone-Derived Mineral

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Ferdinando Attanasio ◽  
Andrea Pacifici ◽  
Amerigo Giudice ◽  
Antonella Polimeni ◽  
Luciano Pacifici
Keyword(s):  
Relevant Literature ◽  
Bone Volume ◽  
Collagen Membrane ◽  
Bovine Bone ◽  
Bone Augmentation ◽  
Medium Term ◽  
Ridge Augmentation ◽  
Implant Placement ◽  
Horizontal Augmentation ◽  
Autologous Bone

Alveolar ridge deficiency is considered a major limitation for successful implant placement. Various approaches have been developed to horizontal augmentation of bone volume. This case report presents the medium-term results of one-stage guided bone augmentation using an anorganic bovine bone (70%) and autologous bone (30%), placed in layers, in association with resorbable collagen membrane for a subsequent implant placement. The patient presented with a localized horizontal ridge defect in the posterior zone of the jaw. The clinical and radiographic presentations, as well as relevant literature, are presented.

scholarly journals Management of a Complex Dentoalveolar Traumatic Injury with Multiple Avulsions

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Anita Thakur ◽  
Seema Thakur
Keyword(s):  
Alveolar Bone ◽  
Case Reports ◽  
Traumatic Injury ◽  
Radiographic Evaluation ◽  
Root Fracture ◽  
Anterior Teeth ◽  
Removable Prosthesis ◽  
Tooth Number ◽  
Dentoalveolar Trauma ◽  
Mouth Rinsing

Background. Dentoalveolar trauma is a major cause of tooth loss in children. Avulsion, luxation, crown, and root fracture are the injuries to primary and permanent dentition. The incidence of trauma for maxillary anterior teeth ranges for 4%-91%. Many case reports have been published regarding the treatment of trauma to anterior teeth; however, case reports comprising multiple avulsions including canines and premolars are rare in literature. Method. After mouth rinsing was done with 2% betadine solution, the luxated teeth numbers 31 and 42 were repositioned into the tooth socket and were secured with the composite resin-wire splint. Tooth number 32 was extracted because it was disarticulated from the socket, and the socket was disrupted because of the alveolar fracture. The maxillary avulsed teeth could not be reimplanted because of the alveolar socket damage which was due to the alveolar bone fracture. Results. The patient was reevaluated for the removable prosthesis in recall visits; the patient was well adapted to the appliance with no complaints regarding mastication and speech. The patient was advised to report periodically for further adjustments in the prosthesis and for radiographic evaluation. Conclusions. This case report includes proper history taking, diagnosis, and treatment of a complex dentoalveolar trauma along with short-term prosthetic rehabilitation for improvement of aesthetics, phonetics, and mastication of growing child.

Prosthetic Rehabilitation of Edentulous Ridges Following Alveolar Distraction Osteogenesis: Clinical Report of Three Cases

2011 ◽  
Vol 37 (sp1) ◽  
pp. 183-191 ◽  
Author(s):  
Gulfem Ergun ◽  
Isil Cekic Nagas ◽  
Dervis Yilmaz ◽  
Mustafa Ozturk
Keyword(s):  
Dental Implant ◽  
Distraction Osteogenesis ◽  
Alveolar Bone ◽  
Case Reports ◽  
Clinical Report ◽  
Oral Rehabilitation ◽  
Radiologic Findings ◽  
Implant Placement ◽  
Dental Practitioners ◽  
Alveolar Distraction Osteogenesis

Patients with complete edentulism who have insufficient bone for endosseous dental implant treatment present a challenge for dental practitioners. Distraction osteogenesis of the edentulous alveolar ridges is a process for augmentation of atrophic alveolar bone before dental implant placement. This clinical report describes the use of distraction osteogenesis and rehabilitation of patients with a fixed or removable implant-supported prosthesis to treat mandibular defects. Two female patients with segmental alveolar atrophy at the posterior regions of mandible and one female patient with defect at the anterior region of mandible were treated using distraction devices. However, lingual tipping of the distraction vector occurred during the distraction phase in patient 1. The morphology of the alveolar bone was also analyzed in relation to the planned implant position. After a consolidation period of 12 weeks on average, radiologic observation suggested that there was sufficient bone formation for implant installation. In all patients, implant-supported fixed or removable prosthetic oral rehabilitation was successfully performed, and the clinical and radiologic findings were satisfactory. After 4 years of follow-up, no functional or esthetic difficulties with the implants and restorations were noted. These case reports suggest that although alveolar distraction osteogenesis seems to be an effective technique for augmenting atrophic alveolar bone for creating bone and soft tissue, complications may occur after surgical procedures.

scholarly journals Regenerative Endodontic Treatment of Maxillary Incisors with a History of Severe Traumatic Injury

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Nazanin Chitsaz ◽  
Mehrfam Khoshkhounejad ◽  
Hadi Assadian ◽  
Behnam Bolhari ◽  
Mohammadreza Sharifian ◽  
...  
Keyword(s):  
Alveolar Bone ◽  
Root Resorption ◽  
Traumatic Injury ◽  
Signs And Symptoms ◽  
Bone Volume ◽  
Anterior Teeth ◽  
Severe Traumatic Injury ◽  
History Of ◽  
Treatment Objective ◽  
Regenerative Endodontic Treatment

The treatment objective for children with avulsed anterior teeth should concentrate on preserving the alveolar bone volume and contour. Posttraumatic external inflammatory root resorption (EIRR) is also a high-risk complication often observed in children. Regenerative endodontic procedure (REP) has been considered a successful treatment to arrest EIRR, especially in posttraumatic cases. This case report presents clinical outcomes of REP in two teeth of an 8-year-old systemically healthy patient with a history of severe dentoalveolar traumatic injury, one with a history of avulsion, and the other with an EIRR. The treatment consisted of REP on both teeth #8 and #9. The results showed some evidence of maturation in the apical third of tooth #9 and resolution of signs and symptoms on tooth #8.

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