Dr. Marco Brindis

Orthodontic Extrusion: A Viable Procedure to Achieve a More Predictable Esthetic Outcome in Implant Dentistry

With so much attention and devotion to esthetics, it is often painful that our esthetic outcomes in implant dentistry are not consistent. It is well documented how difficult and unpredictable treatment planning and restoring implants in the esthetic zone can be. Many techniques have been described to prevent these problems. A simple technique is the manipulation of a hopeless tooth to take advantage of the bone's ability to remodel. Orthodontic extrusion is a viable way to improve the periodontal environment around a hopeless tooth, prior to extraction and placement of an implant fixture. The technique and indications for orthodontic extrusion in the esthetic zone will be addressed. 

Course Objectives - upon completion of this course, attendees will have a better understanding of:

• The concept of a hopeless tooth.
• The rationale for orthodontic extrusion.
• The step by step procedure for orthodontic extrusion.
• The importance of establishing references before starting any restorative esthetic implant case.
• Indications and contraindications to orthodontic extrusion prior to implant placement.