Orthodontic Implant Site Development Using Labial Root Torque: A Case Series with CBCT Analysis

Int J Periodontics Restorative Dent. 2024 Feb 16;0(0):1-18. doi: 10.11607/prd.7094. Online ahead of print.ABSTRACTThis case series assessed the efficacy of Orthodontic Implant Site Development with Labial Root Torque (OISD-LRT) as a nonsurgical technique for addressing labial bone deficiencies in seven patients. The procedure involved strategically placing a multi-bracket of 2-3 mm apically on the hopeless teeth, gradually shifting them with Ni-Ti wires at the rate of 2 mm per month and maintaining overcorrection for 2 months before extraction. OISD-LRT consistently augmented tissue for flapless guided implant surgery, with an average treatment duration of 404Å}311.7 days. Cone-beam computed tomography (CBCT) scans at various stages revealed increases in both vertical and horizontal bone dimensions, especially in the sockets with complete labial bone loss. Despite inevitable post-extraction reductions in bone height and width, sufficient dimensions were maintained to ensure long-term implant stability. This case series highlights the effectiveness of OISD-LRT as a valuable method for horizontal bone augmentation, particularly in patients with labial bone deficiency. This approach provides a robust foundation for subsequent implant placement, showcasing its success in addressing challenging anatomical conditions and contributing to the broader field of implant dentistry.PMID:38363184 | DOI:10.11607/prd.7094

Source: International Journal of Periodontics and Restorative Dentistry - February 16, 2024 Category: Dentistry Authors: Tsutomu Tanno Akira Hasuike Koji Naito Chihiro Ishikura Akiyoshi Funato Source Type: research