Forced eruption and implant site development in the aesthetic zone: A case report

Keçeli, Hüseyin Gencay; Güncü, Mustafa Barış; Atalay, Zeynep; Evginer, Mustafa Serdar

doi:10.4103/1305-7456.130635

Cited by 9 publications

(3 citation statements)

References 22 publications

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“…In cases of circumferential bone loss, as well as in cases of severe gingival recession, the orthodontic extrusion cannot ensure a vertical bone development suitable for the ideal implant placement, with complications such as bone dehiscence. From the various studies analysed [17,20,21,23,24], we can conclude that, even if the validity of the orthodontic extrusion technique has been demonstrated, there are no common guidelines that can be followed by the clinicians. On the contrary, there is agreement for the use of mild and continuous forces as well as for the importance of the stabilization period and of the overcorrection.…”

Section: Discussionmentioning

confidence: 99%

“…mm extrusion/month OC FB FU X-ray 0-1mm 1-2mm >2 mm H. Salama and M. Salama [10] 3m X-ray Linear 2-D Korayem et al [16] 7 m-3 y Linear 2-D Brindis and Block [6] Uribe et al [17] Kim et al [18] 5y X-ray Linear 2-D Amato et al [19] 18-61 m Linear 2-D Rokn et al [20] 4 m X-ray Linear 2-D Linear 2-D Chou et al [21] 2y X-ray Watanabe et al [22] 4y CBCT Volume 3-D Hochman et al [5] 1y CBCT Linear 3-D Keceli et al [23] 12 m Linear 2-D Alsahhaf and Att [24] Kwon et al [25] Linear 2-D 6 e Scientific World Journal Table 4: Data from the literature review in which the parameter of the stabilization times was compared (grey filled box � yes applied).…”

Section: -20gmentioning

confidence: 99%

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Predictability of a New Orthodontic Extrusion Technique for Implant Site Development: A Retrospective Consecutive Case-Series Study

Conserva

Fadda²,

Ferrari

et al. 2020

The Scientific World Journal

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In clinical daily practice, there are situations in which implant sites have vertical and/or horizontal bone defects and often we must improve their morphology and dimensions before fixture insertion. It is crucial to carefully evaluate the surgical site as regards the characteristics of both hard and soft tissues. The orthodontic extrusion technique can be used for nonsurgical augmentation of the implant site as an alternative to traditional regenerative/reparative surgical therapies. The orthodontic extrusion is based on a biological mechanism that uses the portion of periodontal ligament, still present on the root before the tooth extraction, for the increase of hard and soft tissues. In the literature, there is no evidence of common guidelines for this technique but only tips based on personal experience and/or previous studies. The aim of this study was to investigate and to validate the reliability of a new orthodontic extrusion technique (MF Extrusion Technique, by Dr. Mauro Fadda) by means of a retrospective consecutive case-series study. After we have done a review of the literature, we evaluated the X-rays of twelve consecutively treated patients before the orthodontic extrusion (T0) and after the stabilization period (T1), in order to quantify, by two different measurements, area and linear, the bone gain obtained by the application of the new technique. All the patients examined showed a significant increase in bone areas with an average value of 31.575 mm2. The linear bone gain had an average value of 4.63 mm. Data collected were statistically analysed by the Wilcoxon signed-rank test. The results obtained both from area and linear measurements at T0 and at T1 times showed that there was a statistically significant bone gain with p<0.01.

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Section: Discussionmentioning

confidence: 99%

Section: -20gmentioning

confidence: 99%

Predictability of a New Orthodontic Extrusion Technique for Implant Site Development: A Retrospective Consecutive Case-Series Study

Conserva

Fadda²,

Ferrari

et al. 2020

The Scientific World Journal

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“…As summarized by a recent systematic review of forced eruption for implant site development by Somar et al, an average of 0.5-1 mm of active extrusion per month was achieved by Chou et al and Amato et al using either a partial or full orthodontic bracket setup [39,42,43]. Keceli et al also reported successful treatment with an extrusion rate of 1 mm per week and three weeks of stabilization [44]. In these studies, the efficacy of bone augmentation ranged from 69% to 100%.…”

Section: Methodology and Efficacymentioning

confidence: 99%

Clinical Considerations in Orthodontically Forced Eruption for Restorative Purposes

Huang

Yang

Qali

et al. 2021

JCM

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For restorations on teeth involving invasion of the supracrestal tissue attachment (biological width), as well as for lack of ferrule effect, crown lengthening is required for long-term periodontal health and success of the restoration. In the same fashion, site development is often necessary prior to implant placement in order to provide optimal peri-implant soft and hard tissue architecture conducive to future esthetics and function. Orthodontic extrusion, also known as forced eruption, has been developed and employed clinically to serve the purposes of increasing the clinical crown length, correcting the periodontal defect, and developing the implant site. In order to provide comprehensive guidance on the clinical usage of this technique and maximize the outcome for patients who receive the dental restoration, the currently available literatures were summarized and discussed in the current review. Compared to traditional crown lengthening surgery, forced eruption holds advantages of preserving supporting bone, providing improved esthetics, limiting the involvement of adjacent teeth, and decreasing the negative impact on crown-to-root ratio compared to the traditional resective approach. As a non-invasive and natural technique capable of increasing the available volume of bone and soft tissue, forced eruption is also an attractive and promising option for implant site development. Both fixed and removable appliances can be used to achieve the desired extrusion, but patient compliance is a primary limiting factor for the utilization of removable appliances. In summary, forced eruption is a valuable treatment adjunct for patients requiring crown lengthening or implant restorations. Nonetheless, comprehensive evaluation and treatment planning are required for appropriate case selection based upon the known indications and contraindications for each purpose; major contraindications include inflammation, ankylosis, hypercementosis, vertical root fracture, and root proximity. Further studies are necessary to elucidate the long-term stability of orthodontically extruded teeth and the supporting bone and soft tissue that followed them.

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Acute periodontal lesions (periodontal abscesses and necrotizing periodontal diseases) and endo‐periodontal lesions

Herrera

Retamal‐Valdes

Alonso

et al. 2018

Journal of Periodontology

128

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PA should be classified according to the etiological factors involved, with the most frequent being those occurring in pre-existing periodontal pockets. NPD are clearly associated with the host immune response, which should be considered in the classification system for these lesions. EPLs should be classified according to signs and symptoms that have direct impact on their prognosis and treatment, such as presence or absence of fractures and perforations, and presence or absence of periodontitis.

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Forced eruption and implant site development in the aesthetic zone: A case report

Cited by 9 publications

References 22 publications

Predictability of a New Orthodontic Extrusion Technique for Implant Site Development: A Retrospective Consecutive Case-Series Study

Predictability of a New Orthodontic Extrusion Technique for Implant Site Development: A Retrospective Consecutive Case-Series Study

Clinical Considerations in Orthodontically Forced Eruption for Restorative Purposes

Acute periodontal lesions (periodontal abscesses and necrotizing periodontal diseases) and endo‐periodontal lesions

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