An Interdisciplinary Treatment Approach Combining Orthodontic Forced Eruption with Immediate Implant Placement to Achieve a Satisfactory Treatment Outcome: A Case Report

Clinical Implant Dentistry and Related Research - Tập 15 Số 1 - Trang 113-120 - 2013
Yu‐Hsiang Chou1, Je‐Kang Du2, Szu‐Ting Chou3, Kai‐Fang Hu4, Chi‐Cheng Tsai5, Kuen‐Yao Ho6, Yi‐Min Wu7, Ya‐Ping Ho8
1Attending staff of Division of Periodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan;
2attending staff of Division of Prosthodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan;
3attending staff of Division of Orthodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan;
4chief resident of Division of Periodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan;
5professor of College of Oral Medicine, Chung Shan Medical University, Taichung, Taiwan;
6chairman of Division of Periodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, and associate professor of School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan;
7attending staff of Division of Periodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, and associate professor of School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan;
8attending staff of Division of Periodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, and assistant professor of School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

Tóm tắt

ABSTRACTBackground: Periodontal disease often results in severely bony defects around the teeth and leads to eventual extraction. Remaining bone morphology often compromises ideally restoration‐driven positions and deteriorates the success rates for dental implants.Purpose: The present investigation illustrates the clinical outcome of immediately installing an implant following orthodontic forced eruption and atraumatic extraction.Material and Methods: The subject of this study is a 40‐year‐old Asian female with a right mandibular first molar that had a deep probing depth on the mesial side and mobility. Via the aid of radiographic examination, the tooth that had an angular bony defect and apical lesion was diagnosed as having deep caries and chronic periodontitis with a poor prognosis. After consultation with the patient, we developed a treatment plan incorporating a forced eruption with immediate implantation, intended to augment the alveolar bone volume and increase the width of keratinized gingivae, in a nonsurgical manner.Results: Following 12 months of orthodontic treatment, the tooth was successfully moved occlusally in conjunction with an 8 mm vertical interdental bone augmentation. Because of sufficient volume of bone and satisfactory gingival dimensions, the implant showed adequate initial stability in the correct position to facilitate physiological and aesthetic prerequisites. After 6 months of ossteointegration, a customized impression coping was utilized to transfer the established emergence profile to a definitive cast for the fabrication of a customized abutment. The final prosthesis was made using a customized metal abutment and ceramometal crown.Conclusion: In the face of difficult clinical challenges, meticulous inspection and a comprehensive treatment plan were crucial. Interdisciplinary treatment through the careful integration of multiple specialists suggests the possibility of optimal results with high predictability.

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Tài liệu tham khảo

Price RB, 1999, Esthetic restoration of a single‐tooth dental implant using a subepithelial connective tissue graft: a case report with 3‐year follow‐up, Int J Periodontics Restorative Dent, 19, 92

Urbani G, 1998, Localized ridge augmentation with chin grafts and resorbable pins: case reports, Int J Periodontics Restorative Dent, 18, 363

10.1111/j.1708-8208.2002.tb00165.x

10.1034/j.1600-0501.2002.130603.x

10.1097/00008505-200104000-00006

Aparicio C, 2001, Alveolar ridge widening by distraction osteogenesis: a case report, Pract Proced Aesthet Dent, 13, 663

10.1016/S0300-9785(81)80077-4

Gonzalez Lopez S, 2005, Esthetic restoration with orthodontic traction and single‐tooth implant: case report, Int J Periodontics Restorative Dent, 25, 239

Kahnberg KE, 2009, Immediate implant placement in fresh extraction sockets: a clinical report, Int J Oral Maxillofac Implants, 24, 282

10.1111/j.1708-8208.2000.tb00111.x

10.1067/moe.2001.115464

Salama H, 1993, The role of orthodontic extrusive remodeling in the enhancement of soft and hard tissue profiles prior to implant placement: a systematic approach to the management of extraction site defects, Int J Periodontics Restorative Dent, 13, 312

10.1016/S0889-5406(97)70224-5

10.14219/jada.archive.1995.0175

Kan JY, 2000, Immediate placement and provisionalization of maxillary anterior single implants: a surgical and prosthodontic rationale, Pract Periodontics Aesthet Dent, 12, 817

Andersson B, 1998, Five‐year prospective study of prosthodontic and surgical single‐tooth implant treatment in general practices and at a specialist clinic, Int J Prosthodont, 11, 351

Henry PJ, 1996, Osseointegrated implants for single‐tooth replacement: a prospective 5‐year multicenter study, Int J Oral Maxillofac Implants, 11, 450

10.1016/0022-3913(67)90046-7

Schropp L, 2003, Bone healing and soft tissue contour changes following single‐tooth extraction: a clinical and radiographic 12‐month prospective study, Int J Periodontics Restorative Dent, 23, 313

Lazzara RJ, 1989, Immediate implant placement into extraction sites: surgical and restorative advantages, Int J Periodontics Restorative Dent, 9, 332

10.1111/j.1600-051X.1993.tb00706.x

10.1902/jop.2001.72.11.1560

De Rouck T, 2008, Single‐tooth replacement in the anterior maxilla by means of immediate implantation and provisionalization: a review, Int J Oral Maxillofac Implants, 23, 897

10.1902/jop.2003.74.2.268

Knox R, 1991, Histologic evaluation of dental endosseous implants placed in surgically created extraction defects, Int J Periodontics Restorative Dent, 11, 364

Prosper L, 2003, Four‐year follow‐up of larger‐diameter implants placed in fresh extraction sockets using a resorbable membrane or a resorbable alloplastic material, Int J Oral Maxillofac Implants, 18, 856

10.1111/j.1708-8208.2003.tb00202.x

10.1016/S0889-5406(99)70284-2

10.1016/0030-4220(73)90220-X

Ingber JS, 1989, Forced eruption: alteration of soft tissue cosmetic deformities, Int J Periodontics Restorative Dent, 9, 416

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Clinical Implant Dentistry and Related Research

Tập 15 Số 1

113-120

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