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Related Experiment Video

Updated: Feb 26, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla

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Tridimensional Reconstruction of a Complex Iatrogenic Defect Using Orthodontic Forced Eruption and Minimally Invasive

Ernesto A Lee¹

¹Clinical Professor and Director, Postdoctoral Periodontal Prosthesis Program, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania; Private Practice, Bryn Mawr, Pennsylvania.

Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)

|July 21, 2017

Summary

This case study details the successful treatment of a complex defect in the anterior maxilla using forced eruption and minimally invasive ridge augmentation. The combined approach achieved predictable esthetic results and full tridimensional reconstruction of the compromised area.

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Last Updated: Feb 26, 2026

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Area of Science:

Dental implantology
Periodontology
Restorative dentistry

Background:

Increasing prevalence of dental implant use leads to more complications.
Complex iatrogenic defects require advanced treatment strategies.
Maxillary anterior region defects pose significant esthetic challenges.

Observation:

A patient presented with a complex iatrogenic defect from a failed implant and multiple bone grafts.
High smile line and compromised tissues necessitated an interdisciplinary approach.
Defect involved alveolar height deficit and compromised hard and soft tissues around teeth 6 and 8.

Findings:

Forced eruption restored alveolar height and developed compromised tissues.
Subperiosteal minimally invasive (a)esthetic ridge-augmentation technique (SMART) provided horizontal bone augmentation.
Immediate postextraction implants with a flapless approach and provisional prosthesis achieved tridimensional reconstruction.

Implications:

Combined therapies successfully restored gingival and alveolar volumes and gingival margin levels.
This interdisciplinary approach offers predictable esthetic outcomes for complex defects.
Minimally invasive techniques preserve soft-tissue architecture while achieving bone augmentation.