Staged orthodontic treatment in preparation for immediate implant placement: A clinical report with a 5-year follow-up.

ABSTRACT

Anterior implant restoration is one of the most challenging restorative procedures, especially for sites with vertical and/or horizontal hard and soft tissue deformities. Orthodontic extrusion before implant placement may be the best means of overcoming vertical deficiencies. This article describes a modification to the standard technique, involving staged orthodontic extrusion and buccal root torque. The main advantage of this modification is that it encourages bone and soft tissue development, thereby allowing the patient to receive immediate or early implant treatment. A clinical procedure is presented to illustrate the modified technique that resulted in an esthetically pleasing and stable 5-year outcome.