Orthodontic extrusion and implant site development using an interocclusal appliance for a severe mucogingival deformity: A clinical report

Kim, Sung Hyun; Tramontina, Vinicius Augusto; Papalexiou, Vula; Luczyszyn, Sônia Mara

doi:10.1016/s0022-3913(11)00012-6

Cited by 18 publications

(13 citation statements)

References 16 publications

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“…A presurgical CBCT can provide invaluable information on the need for bone grafting and anticipated implant width, length, and need for creating or reducing the anticipated implant site with orthodontic therapy or extrusion for implant site development. 55,67,68 Based on limited studies and a general consensus, the scientific community seems to agree that ideally a minimum of 2 mm of buccal bone wall (and preferably more than 2 mm) is necessary once the implant osteotomy has been prepared in a healed site to ensure proper soft tissue support and to avoid the resorption of the buccal bone wall following restoration. 8,64,65,[69][70][71] Spray and coworkers 71 evaluated two-stage implant placement in healed sites and measured facial thickness at time of implant placement and after 3 to 6 months at second stage uncovering using calipers.…”

Section: Importance Of Presurgical Buccal Bone Widthmentioning

confidence: 99%

Soft Tissue Augmentation Procedures for Mucogingival Defects in Esthetic Sites

Levine¹,

Huynh‐Ba²,

Cochran³

2014

Int J Oral Maxillofac Implants

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This systematic review was performed to address the focus question: "In adult patients with soft tissue deficiencies around maxillary anterior implants, what is the effect on esthetic outcomes when a soft tissue procedure is performed?" In addition, this paper reviews the importance of presurgical esthetic risk assessment (ERA) starting with comprehensive team case planning prior to surgical intervention and a restorative-driven approach. Materials and Methods: A thorough Medline database search performed on related MeSH terms yielded 1,532 titles and selected abstracts that were independently screened. Out of the 351 abstracts selected, 123 full-text articles were obtained for further evaluation. At each level, any disagreements were discussed until a consensus was reached. Results: A total of 18 studies were included in this systematic review of esthetic outcomes following soft tissue procedures around implants with soft tissue deficiencies. A preliminary analysis of the included studies showed that the vast majority were case series studies with most not providing objective outcomes of their results. Moreover, only one randomized controlled trial was identified. Therefore, quantitative data analysis and subsequent meta-analysis could not be performed. The included studies were grouped according to the intervention on the peri-implant soft tissue performed and six groups were identified. The periodontal procedures performed around dental implants gave initial good results from the inflammation involved in wound healing, but in virtually all cases significant recession occurred as healing resolved and the tissues matured. Conclusions: Although success of implant therapy is similar in the anterior maxilla and other areas of the mouth, the majority of studies evaluating this therapy in the esthetic zone are lacking literature support, few in number, devoid of long-term follow-up and number of patients, and are subject to inclusion bias. The use of the ERA tool for all esthetic zone cases can benefit both the clinician and the patient to avoid any miscommunication and problems of expectation upon completion. All the available knowledge on this topic, including the approaches described in this paper, is based on a very limited literature support and thus should be addressed with caution. These concerns should encourage long-term good clinical trials for better assessment of those issues. Int J Oral

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Section: Importance Of Presurgical Buccal Bone Widthmentioning

confidence: 99%

Soft Tissue Augmentation Procedures for Mucogingival Defects in Esthetic Sites

Levine¹,

Huynh‐Ba²,

Cochran³

2014

Int J Oral Maxillofac Implants

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“…Most of the studies included in this review indicate the stabilization time in a period ranging between 6 and 24 weeks of retention. In some studies, the stabilization period is based on the mm of extrusion obtained, recommending a period of 1 month for each millimeter extruded [16,18]. Overcorrection (more extrusion than needed) is recommended to compensate the possible loss of bone and gingiva that may occur as a result of the implant surgery.…”

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%

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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“…Overcorrection is also recommended to compensate for the possible loss of bone and gingiva that may occur because of the implant placement surgical procedure. Using orthodontic extrusion for implant site development often involves prior root canal treatment and vertical crown height reduction of the tooth that are to be extruded, to eliminate creating a traumatic bite (Kim et al, 2011;Rasner, 2011). It is important to keep in mind the importance of planning before attempting to extract any tooth.…”

Section: Role Of Orthodontics In Endodonticrestorative Treatment Planningmentioning

confidence: 99%

Endodontics-orthodontics interrelationship: a review.

Mustaffa

Nasir

2021

IJOHS

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The endodontic-orthodontic interface is not well understood due to the limited scientific literature on the topic. This article aims to provide an overview of the orthodontic treatment and the risk of root resorption, the effects of orthodontic tooth movement on dental pulp and endodontically treated teeth, the role of orthodontics in endodontic-restorative treatment planning, and interdisciplinary patient management. Articles published in English from 1982 to 2021 were searched manually from google scholar using keywords ‘endodontic-orthodontic interface’ and ‘endodontic-orthodontic interrelationship’. Another search engine was MEDLINE/PubMed database using keywords ‘endodontics AND orthodontics’, ‘orthodontic tooth movement AND dental pulp’, 'orthodontic tooth movement AND endodontic treatment' and ‘orthodontics AND dental trauma’. Other relevant articles were obtained from the references of the selected papers. Alterations to the dental pulp following orthodontic tooth movement can be histologic and/or cell biological reactions as well as the increased response threshold to pulp sensibility tests. However, the occurrence of root resorption is complex and multifactorial, and can be linked to individual variation, genetic predisposition and orthodontic treatment-related factors. Endodontically treated teeth can move as readily and respond similarly to orthodontic forces as vital teeth, however with inadequate endodontic treatment, the risk of apical inflammation and bone destruction following orthodontic tooth movement is increased. Dental treatment that involves endodontic and orthodontic specialities should be carefully planned according to the individual case, taking into consideration the skills and experience of the clinicians while applying interdisciplinary patient management and available scientific data.

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Orthodontic extrusion and implant site development using an interocclusal appliance for a severe mucogingival deformity: A clinical report

Cited by 18 publications

References 16 publications

Soft Tissue Augmentation Procedures for Mucogingival Defects in Esthetic Sites

Soft Tissue Augmentation Procedures for Mucogingival Defects in Esthetic Sites

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

Endodontics-orthodontics interrelationship: a review.

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