Optimizing Maxillary Aesthetics of a Severe Compromised Tooth through Orthodontic Movement and Dental Implants
Treatment of severe compromised tooth in the maxillary anterior area still poses great challenge to the clinicians. Several treatment modalities have been proposed to restore the function and aesthetics in teeth with advanced periodontal disease. The present...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2014/103808 |
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| author | Rafael Scaf de Molon Erica Dorigatti de Avila Joni Augusto Cirelli Mauricio de Almeida Cardoso Leopoldino Capelozza-Filho Luiz Antonio Borelli Barros |
| author_facet | Rafael Scaf de Molon Erica Dorigatti de Avila Joni Augusto Cirelli Mauricio de Almeida Cardoso Leopoldino Capelozza-Filho Luiz Antonio Borelli Barros |
| author_sort | Rafael Scaf de Molon |
| collection | DOAJ |
| description | Treatment of severe compromised tooth in the maxillary anterior area still poses great challenge to the clinicians.
Several treatment modalities have been proposed to restore the function and aesthetics in teeth with advanced periodontal disease.
The present study aims to report a case of traumatic injury of a left-maxillary central incisor with ridge preservation,
orthodontic movement, and implant therapy. A 45-year-old woman underwent the proposed treatment for her left central incisor:
basic periodontal therapy, xenogenous bone graft, and guided bone regeneration (GBR). Six months after the graft procedure,
orthodontic movement by means of alignment and leveling was made and a coronal displacement of the gingival margin and vertical bone apposition
could be observed after 13 months of active movement. Afterwards, a dental implant was placed followed by a connective tissue graft and immediate
provisionalization of the crown. In conclusion, orthodontic movement was effective to improve the gingival tissue and alveolar bone prior to implant
placement favoring the aesthetic results. Six years postoperatively, the results revealed height and width alveolar bone gain indicating that the treatment
proposed was able to restore all the functional and aesthetic parameters. |
| format | Article |
| id | doaj-art-769b2f45c44d4ccf97b0f56463b4e017 |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-769b2f45c44d4ccf97b0f56463b4e0172025-02-03T05:47:52ZengWileyCase Reports in Dentistry2090-64472090-64552014-01-01201410.1155/2014/103808103808Optimizing Maxillary Aesthetics of a Severe Compromised Tooth through Orthodontic Movement and Dental ImplantsRafael Scaf de Molon0Erica Dorigatti de Avila1Joni Augusto Cirelli2Mauricio de Almeida Cardoso3Leopoldino Capelozza-Filho4Luiz Antonio Borelli Barros5Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, BrazilDepartment of Dental Materials and Prosthodontics, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, BrazilDepartment of Diagnosis and Surgery, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, BrazilDiscipline of Orthodontics, University of Sagrado Coração, Rua Irmã Arminda 10-50, 17011-160 Bauru, SP, BrazilDiscipline of Orthodontics, University of Sagrado Coração, Rua Irmã Arminda 10-50, 17011-160 Bauru, SP, BrazilDepartment of Social Dentistry, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, BrazilTreatment of severe compromised tooth in the maxillary anterior area still poses great challenge to the clinicians. Several treatment modalities have been proposed to restore the function and aesthetics in teeth with advanced periodontal disease. The present study aims to report a case of traumatic injury of a left-maxillary central incisor with ridge preservation, orthodontic movement, and implant therapy. A 45-year-old woman underwent the proposed treatment for her left central incisor: basic periodontal therapy, xenogenous bone graft, and guided bone regeneration (GBR). Six months after the graft procedure, orthodontic movement by means of alignment and leveling was made and a coronal displacement of the gingival margin and vertical bone apposition could be observed after 13 months of active movement. Afterwards, a dental implant was placed followed by a connective tissue graft and immediate provisionalization of the crown. In conclusion, orthodontic movement was effective to improve the gingival tissue and alveolar bone prior to implant placement favoring the aesthetic results. Six years postoperatively, the results revealed height and width alveolar bone gain indicating that the treatment proposed was able to restore all the functional and aesthetic parameters.http://dx.doi.org/10.1155/2014/103808 |
| spellingShingle | Rafael Scaf de Molon Erica Dorigatti de Avila Joni Augusto Cirelli Mauricio de Almeida Cardoso Leopoldino Capelozza-Filho Luiz Antonio Borelli Barros Optimizing Maxillary Aesthetics of a Severe Compromised Tooth through Orthodontic Movement and Dental Implants Case Reports in Dentistry |
| title | Optimizing Maxillary Aesthetics of a Severe Compromised Tooth through Orthodontic Movement and Dental Implants |
| title_full | Optimizing Maxillary Aesthetics of a Severe Compromised Tooth through Orthodontic Movement and Dental Implants |
| title_fullStr | Optimizing Maxillary Aesthetics of a Severe Compromised Tooth through Orthodontic Movement and Dental Implants |
| title_full_unstemmed | Optimizing Maxillary Aesthetics of a Severe Compromised Tooth through Orthodontic Movement and Dental Implants |
| title_short | Optimizing Maxillary Aesthetics of a Severe Compromised Tooth through Orthodontic Movement and Dental Implants |
| title_sort | optimizing maxillary aesthetics of a severe compromised tooth through orthodontic movement and dental implants |
| url | http://dx.doi.org/10.1155/2014/103808 |
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