Related Experiment Video
Updated: Jun 16, 2026

05:54
Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
Published on: October 18, 2021
Orthodontically assisted vertical augmentation in the esthetic zone
Babak Mirmarashi1, Arman Torbati, Alexander Aalam
1Department of Advanced Prosthodontics, School of Dentistry, University of Southern California, Los Angeles, CA, USA. bmirmarashi@yahoo.com
Summary
Severe periodontal disease often leads to tooth loss, complicating implant restoration planning. This report details using non-vital teeth for site development and interim restorations, aiding the transition to dental implants.
Area of Science:
- Dental Implantology
- Periodontology
- Prosthodontics
Background:
- Severe periodontal disease presents challenges for replacing lost teeth with dental implants.
- Transitioning patients from natural teeth to implant restorations without removable prostheses is complex.
- Comprehensive treatment planning is crucial before extracting severely compromised teeth.
Observation:
- This clinical report focuses on a patient classified as American College of Prosthodontists Prosthodontic Diagnostic Index (ACP PDI) class IV.
- The study explores utilizing non-maintainable teeth for simultaneous site development and interim restoration support.
- Forced eruption is a recognized technique for modifying osseous and gingival topography.
Findings:
- Non-maintainable teeth were used to develop implant sites while supporting a fixed interim restoration.
- This approach facilitated the transition from natural dentition to implant-supported restorations.
- The method aimed to manage osseous and gingival topography for optimal implant placement.
Implications:
- This technique offers a viable strategy for managing complex cases of severe periodontal disease and tooth loss.
- It provides a method for maintaining function and aesthetics during the treatment process.
- The findings suggest a predictable approach for site development and provisionalization in implant dentistry.
