Orthodontic extrusion for pre-im-plant site enhancement in a posterior area: An interdisciplinary case report

Replacing a compromised dental element with a dental implant is a well documented procedure with a high success rate. The immediate placement of a dental implant at the time of extraction requires a favorable anatomical scenario. If the anatomical scenario is not ideal, it is possible to perform surgical procedures in order to increase hard and soft tissues after tooth extraction or to do orthodontic extrusion, which reduces the number of surgical procedures and times. Extrusion must be followed by a prolonged retention period to allow remodeling and adaptation of the periodontal tissues with the new tooth position. Orthodontic extrusion makes the positioning of dental implants more favorable. Ridge preservation allows placement of the dental implant within the bone thickness on a suitable axis. The case presented included orthodontic extrusion and, subsequently, the extraction of a compromised tooth in order to guarantee an ideal quantity of hard and soft tissues for positioning a post-extraction implant