Case Report
Year: 2020 | Month: January-March | Volume: 5 | Issue: 1 | Pages: 12-18
“Un-Ortho-dox”…A New Paradigm in Ortho-Implant Intervention
Aniket Chatterji, Sangita Show, Ritam Kundu, Arka Kanti Dey
Honorary Consultant. Smile D Elite - Multi-speciality Dental Treatment Centre, 52/2A Hazra Road, Kolkata- 700019, West Bengal.
Corresponding Author: Ritam Kundu
ABSTRACT
The success of orthodontic treatment is aimed at achieving a harmonious well aligned occlusion with proper hard and soft tissue balance. Congenitally missing teeth, non-judicial extraction, periodontally compromised teeth are some of the frequent causes of incomplete closure and residual space even after completion of orthodontic therapy which may get complicated with adult age and residual defects in tissue architecture.
In these cases implant placement in 2D or 3D ridge defect can be accomplished through various means like ridge split with expansion, en-block augmentation, sinus lift procedure etc with or without bone graft materials to achieve the optimal platform for implant placement, which are usually performed after completion of the orthodontic therapy. This case report describes a novel technique by utilizing the advantage of remodeling phase of orthodontic treatment by preserving the viability and elasticity of the native bone cell with simultaneous soft tissue remodeling and hard tissue optimization could be achieved successfully without any additional surgical intervention during implant placement in a single adult orthodontic case in both anterior and posterior sites of the lower arch.
Keywords: residual space, congenitally missing tooth, orthodontic remodeling, residual ridge defect, ridge augmentation without conventional bone graft material and membrane, slow drilling protocol without irrigation.