Orthodontic extrusion to regenerate papillae + Immediate implants + Aesthetic prosthesis

Orthodontic extrusion to regenerate papillae + Immediate implants + Aesthetic prosthesis 1

Before

Orthodontic extrusion to regenerate papillae + Immediate implants + Aesthetic prosthesis 2

After

Young woman with displaced fixed crowns and suffering from periodontal disease with papillae loss, evidenced by the black spaces in the anterior superior area.

As a first step, the crowns are replaced by provisional crowns made of resin.

An anti-infective periodontal treatment is conducted and, afterwards, a slow orthodontic extrusion until the desired symmetry and harmony of the gingival borders have been reached.

The right upper-central incisor and the left upper canine (baby tooth) are extracted, and immediate implants with provisional crowns are placed.

Six months later, final zirconium-porcelain crowns are placed on the implants, and porcelain crowns on the other anterior teeth.

Orthodontic extrusion to regenerate papillae + Immediate implants + Aesthetic prosthesis 3

1.- Young woman.

Orthodontic extrusion to regenerate papillae + Immediate implants + Aesthetic prosthesis 4

2.- Periodontitis with papillae loss in overcontoured crowns.

Orthodontic extrusion to regenerate papillae + Immediate implants + Aesthetic prosthesis 5

3.- The left upper canine is a baby tooth.

  1. After the orthodontic treatment, the right upper-central incisor is extracted in response to severe root caries, and an immediate implant is placed.

The same procedure applies to the left canine.

  1. Front view of the aesthetic area, restored by means of implants on the right central incisor and the left canine+ porcelain veneers covering the other teeth.
Dra. Gema Olmos
Orthodontic extrusion to regenerate papillae + Immediate implants + Aesthetic prosthesis 6

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