Forced eruption and implant site development: an osteophysiologic response.

Before selected hopeless teeth were extracted, the authors orthodontically erupted these teeth to augment the three-dimensional topography of future implant recipient sites. This controlled "biodynamic orthodontic modeling" manipulates teeth, with as little as one fourth to one third of their apical attachment intact, by constructively increasing their local osseous dimensions in the vertical plane. Such vertical remodeling, especially of the strategic labial plate and crest, allows a more ideal placement of the implant (within 1 to 3 mm apically, depending on implant type) in relation to the cementoenamel junction of the adjacent dentition.

Case report: forced eruption and implant site development.

It is now possible to use the orthodontic extrusion of periodontally compromised teeth to facilitate the development of a future implant site in an area where the amount of bone in the inciso-apical dimension would otherwise have been inadequate. The purpose of this case report was to analyze the hard and soft tissue changes when forced eruption is used for implant site development.

Esthetic recontouring. A team approach.

The presence of irregular incisal edges, a worn or abraded dentition, and imbalances in tooth morphology compromise a harmonious esthetic smile. A team approach is indicated after extensive orthodontic or prosthetic treatment to reach a final cosmetic result. Intentional changes in tooth form by recontouring provide an improved outcome.

Forced eruption and implant site development: soft tissue response.

The increased use of implants in orthodontics has stimulated interest in augmenting bone in patients who have deficient alveolar ridges that preclude ideal implant placement. A nonsurgical technique for increasing the amount of available bone for implant site development and fixture placement is orthodontic extrusion, or forced eruption. The concept of a tooth moving coronally by orthodontic means and the clinical alterations in the soft tissue architecture of the periodontium demonstrated during orthodontic extrusive movement of periodontally compromised teeth have demonstrated a direct relationship of pocket depth reduction, accompanied with an immature appearing tissue, "the red patch.