Orthodontic therapy in implant dentistry: orthodontic implant site development

Borzabadi-Farahani, Ali and Zadeh, Homayoun H. 2016. Orthodontic therapy in implant dentistry: orthodontic implant site development. Tolstunov, Len, ed. Vertical Alveolar Ridge Augmentation in Implant dentistry : A Surgical Manual, Wiley, pp. 30-37. (10.1002/9781119082835.ch04)

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Abstract

If implant placement is planned as a part comprehensive oral rehabilitation, appropriate root positioning by the orthodontist should be monitored with periodic radiographic assessments. Aiming for the ideal crown position, that is, crown torque and crown tip, can be misleading and would not necessarily lead to sufficient interradicular space and root parallelism suitable for implant placement. Therefore, orthodontic tooth movement should be guided by a three-dimensional need of the implant site dictated by the radiographical facts. A myriad of surgical techniques are available for reconstruction of the atrophic alveolar bone prior to implant placement. Some of the limitations of surgical reconstruction include lower efficiency of vertical augmentation, as well as the morbidity associated with augmentation procedures. Orthodontic therapy can be a useful adjunct for vertical down-growth of the alveolar crest and gingival margin, prior to implant placement. So far, the literature has offered limited information on comparison between the effectiveness of the surgical bone augmentation techniques and orthodontic alternatives and each method of implant site development has advantages and disadvantages. This chapter overviews orthodontic strategies that can aid in implant site development and maintenance. The following strategies will be briefly discussed: (1) orthodontic extrusion of compromised teeth, (2) tooth preservation and deferment of implant placement, (3) orthodontic implant site switching, and (4) the provision of a rigid bonded retainer to maintain the implant site.

Item Type:	Book Section
Date Type:	Publication
Status:	Published
Schools:	Dentistry
Publisher:	Wiley
ISBN:	9781119082590
Date of First Compliant Deposit:	24 October 2024
Last Modified:	10 Dec 2024 16:30
URI:	https://orca.cardiff.ac.uk/id/eprint/173323

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