[Preprosthetic orthodontic preparation and Brånemark implants]

Area of Science:

• Dentistry
• Orthodontics
• Prosthodontics

Background:

• The patient presented with significant bone loss in the anterior edentulous region (21-23), necessitating a removable prosthesis for missing teeth.
• A Class II Division 1 malocclusion required orthodontic intervention to address maxillary proalveoli and align mandibular incisors.

Observation:

• The extensive anterior edentulous area complicated orthodontic treatment, precluding continuous multiring mechanics and requiring sequential removable prostheses for anchorage.
• Temporary crowns on osseointegrated fixtures (replacing teeth 22 and 23) were employed to achieve necessary final orthodontic movements for preprosthetic treatment.

Findings:

• The strategic placement of temporary crowns on osseointegrated fixtures facilitated the completion of complex orthodontic movements.
• Earlier placement of osseointegrated fixtures could have accelerated and simplified the overall orthodontic treatment process.

Implications:

• Integrating osseointegrated fixtures earlier in treatment planning can enhance efficiency and predictability in complex orthodontic cases.
• Advanced technologies like 3D scanning, surgical guides, and specialized prostheses could overcome challenges in ideal fixture placement for combined orthodontic and prosthetic goals.