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Forced eruption and implant site development: soft tissue response

T Mantzikos, I Shamus

    American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics
    |January 10, 1998
    PubMed
    Summary

    Orthodontic extrusion can augment bone for dental implant placement by moving teeth coronally. This forced eruption technique alters the periodontium, reducing pocket depth and creating new tissue.

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    Area of Science:

    • Orthodontics
    • Periodontology
    • Implant Dentistry

    Background:

    • Increasing use of dental implants necessitates bone augmentation for patients with deficient alveolar ridges.
    • Nonsurgical techniques for bone augmentation are sought for improved implant site development.
    • Orthodontic extrusion (forced eruption) is a potential method for alveolar bone augmentation.

    Purpose of the Study:

    • To describe the periodontium during eruptive tooth movement.
    • To elucidate the relationship between orthodontic extrusion and alveolar bone changes.
    • To highlight the clinical alterations in soft tissue architecture during forced eruption.

    Main Methods:

    • Describing the process of orthodontic extrusion (forced eruption).
    • Observing clinical alterations in the periodontium during extrusive tooth movement.

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  • Analyzing the relationship between tooth movement and soft tissue changes.

    • Main Results:

    • Orthodontic extrusion moves teeth coronally, increasing available bone.
    • Extrusive tooth movement causes significant alterations in the periodontium.
    • A direct relationship exists between pocket depth reduction and immature tissue formation ('red patch').

    Conclusions:

    • Orthodontic extrusion is a viable nonsurgical option for alveolar bone augmentation.
    • Understanding periodontium changes during forced eruption is crucial for implant site development.
    • This technique offers a method to enhance bone availability for dental implant placement.