Optimizing Maxillary Aesthetics of a Severe Compromised Tooth through Orthodontic Movement and Dental Implants
Identifieur interne : 000502 ( Pmc/Curation ); précédent : 000501; suivant : 000503Optimizing Maxillary Aesthetics of a Severe Compromised Tooth through Orthodontic Movement and Dental Implants
Auteurs : Rafael Scaf De Molon [Brésil] ; Erica Dorigatti De Avila [Brésil] ; Joni Augusto Cirelli [Brésil] ; Mauricio De Almeida Cardoso [Brésil] ; Leopoldino Capelozza-Filho [Brésil] ; Luiz Antonio Borelli Barros [Brésil]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2014.
Abstract
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.
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DOI: 10.1155/2014/103808
PubMed: 24523969
PubMed Central: 3913030
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Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP</wicri:regionArea></affiliation></author><author><name sortKey="De Avila, Erica Dorigatti" sort="De Avila, Erica Dorigatti" uniqKey="De Avila E" first="Erica Dorigatti" last="De Avila">Erica Dorigatti De Avila</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Dental Materials and Prosthodontics, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Dental Materials and Prosthodontics, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP</wicri:regionArea></affiliation></author><author><name sortKey="Cirelli, Joni Augusto" sort="Cirelli, Joni Augusto" uniqKey="Cirelli J" first="Joni Augusto" last="Cirelli">Joni Augusto Cirelli</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP</wicri:regionArea></affiliation></author><author><name sortKey="Cardoso, Mauricio De Almeida" sort="Cardoso, Mauricio De Almeida" uniqKey="Cardoso M" first="Mauricio De Almeida" last="Cardoso">Mauricio De Almeida Cardoso</name><affiliation wicri:level="1"><nlm:aff id="I3">Discipline of Orthodontics, University of Sagrado Coração, Rua Irmã Arminda 10-50, 17011-160 Bauru, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Discipline of Orthodontics, University of Sagrado Coração, Rua Irmã Arminda 10-50, 17011-160 Bauru, SP</wicri:regionArea></affiliation></author><author><name sortKey="Capelozza Filho, Leopoldino" sort="Capelozza Filho, Leopoldino" uniqKey="Capelozza Filho L" first="Leopoldino" last="Capelozza-Filho">Leopoldino Capelozza-Filho</name><affiliation wicri:level="1"><nlm:aff id="I3">Discipline of Orthodontics, University of Sagrado Coração, Rua Irmã Arminda 10-50, 17011-160 Bauru, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Discipline of Orthodontics, University of Sagrado Coração, Rua Irmã Arminda 10-50, 17011-160 Bauru, SP</wicri:regionArea></affiliation></author><author><name sortKey="Borelli Barros, Luiz Antonio" sort="Borelli Barros, Luiz Antonio" uniqKey="Borelli Barros L" first="Luiz Antonio" last="Borelli Barros">Luiz Antonio Borelli Barros</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Social Dentistry, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Social Dentistry, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP</wicri:regionArea></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>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.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="De Molon, Rs" uniqKey="De Molon R">RS de Molon</name></author><author><name sortKey="Morais Camilo, Jand" uniqKey="Morais Camilo J">JAND Morais-Camilo</name></author><author><name sortKey="Verzola, Mha" uniqKey="Verzola M">MHA Verzola</name></author><author><name sortKey="Faeda, Rs" uniqKey="Faeda R">RS Faeda</name></author><author><name sortKey="Pepato, Mt" uniqKey="Pepato M">MT Pepato</name></author><author><name sortKey="Marcantonio, E" uniqKey="Marcantonio E">E Marcantonio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Avila, Ed" uniqKey="De Avila E">ED de Avila</name></author><author><name sortKey="De Molon, Rs" uniqKey="De Molon R">RS de Molon</name></author><author><name sortKey="De Assis Mollo, F" uniqKey="De Assis Mollo F">F de Assis 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id><journal-id journal-id-type="publisher-id">CRIM.DENTISTRY</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24523969</article-id><article-id pub-id-type="pmc">3913030</article-id><article-id pub-id-type="doi">10.1155/2014/103808</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Optimizing Maxillary Aesthetics of a Severe Compromised Tooth through Orthodontic Movement and Dental Implants</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-1110-6233</contrib-id><name><surname>de Molon</surname><given-names>Rafael Scaf</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>de Avila</surname><given-names>Erica Dorigatti</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Cirelli</surname><given-names>Joni Augusto</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Cardoso</surname><given-names>Mauricio de Almeida</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Capelozza-Filho</surname><given-names>Leopoldino</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Borelli Barros</surname><given-names>Luiz Antonio</given-names></name><xref ref-type="aff" rid="I4"><sup>4</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, Brazil</aff><aff id="I2"><sup>2</sup>Department of Dental Materials and Prosthodontics, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, Brazil</aff><aff id="I3"><sup>3</sup>Discipline of Orthodontics, University of Sagrado Coração, Rua Irmã Arminda 10-50, 17011-160 Bauru, SP, Brazil</aff><aff id="I4"><sup>4</sup>Department of Social Dentistry, School of Dentistry at Araraquara, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, Brazil</aff><author-notes><corresp id="cor1">*Rafael Scaf de Molon: <email>molon.foar@yahoo.com.br</email></corresp><fn fn-type="other"><p>Academic Editors: G. Gómez-Moreno and E. Mijiritsky</p></fn></author-notes><pub-date pub-type="ppub"><year>2014</year></pub-date><pub-date pub-type="epub"><day>12</day><month>1</month><year>2014</year></pub-date><volume>2014</volume><elocation-id>103808</elocation-id><history><date date-type="received"><day>1</day><month>12</month><year>2013</year></date><date date-type="accepted"><day>19</day><month>12</month><year>2013</year></date></history><permissions><copyright-statement>Copyright © 2014 Rafael Scaf de Molon et al.</copyright-statement><copyright-year>2014</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>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.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Pretreatment intraoral examination showing extensive periodontal pocket with 11 mm of probing depth, bleeding, and suppuration on probe.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-103808.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Pretreatment periapical, cephalometric, and panoramic radiographs.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-103808.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Guided bone regeneration with xenogenous bone graft and membrane barrier followed by a simple suture.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-103808.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Pretreatment intraoral photographs.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-103808.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>Orthodontic movement progress showing coronal gingival displacement favoring the aesthetic results after 13 months of active orthodontic movement by means of alignment and leveling.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-103808.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Posttreatment orthodontic movement showing acceptable occlusion.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-103808.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>Periapical, cephalometric, and panoramic radiography after orthodontic movement showing alveolar bone augmentation allowing implant placement.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-103808.007"></graphic></fig><fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>Implant placement after orthodontic movement showing bone volume augmented allowing implant placement in an ideal 3-dimensional position and immediate installation of a provisional abutment.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-103808.008"></graphic></fig><fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label><caption><p>Installation of a provisional crown followed by autogenous connective tissue graft, frenum removal, and simple suture.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-103808.009"></graphic></fig><fig id="fig10" orientation="portrait" position="float"><label>Figure 10</label><caption><p>Transfer impression for coping fabrication.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-103808.010"></graphic></fig><fig id="fig11" orientation="portrait" position="float"><label>Figure 11</label><caption><p>Zirconia custom abutment installed and teeth preparation to receive the final prosthesis.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-103808.011"></graphic></fig><fig id="fig12" orientation="portrait" position="float"><label>Figure 12</label><caption><p>Final prosthesis installed and final result showing excellent aesthetic results.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-103808.012"></graphic></fig><fig id="fig13" orientation="portrait" position="float"><label>Figure 13</label><caption><p>6-year follow-up intraoral photographs.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-103808.013"></graphic></fig><fig id="fig14" orientation="portrait" position="float"><label>Figure 14</label><caption><p>6-year follow-up periapical radiographies. (a) Initially; (b) after bone grafting and GBR and beginning of orthodontic treatment; (c) after orthodontic treatment; (d) immediate implant placement; (e) after prosthesis installation; (f) 6 years postoperatively.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-103808.014"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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