open access
메뉴ISSN : 0376-4672
When attempting to place a dental implant in a missing area, there is often not enough room for the restora tion because the surrounding teeth are tilted toward the missing area, there is an diastema, or the antagonistic teeth are extruding into the edentulous space. To create a functional and aesthetically pleasing prosthesis in such cases, it is essential to pre-establish a sufficient and normal-sized restorative space to achieve a more natural looking restoration. As part of the pre-implant treatment process, minor tooth movements can be performed to achieve this goal. The importance of orthodontic treatment in relation to implant therapy is often overlooked, but simple orthodontic tooth movements of adjacent teeth before the completion of implant prostheses can yield significant improvements. Implant therapy performed without correcting abnormal spaces can lead to vari ous biological and mechanical complications, highlighting the substantial value of such orthodontic treatment. Here, representative cases encountered in clinical practice involving common horizontal and vertical space is sues and their resolution through orthodontic intervention before completing implant prosthodontic procedure will be introduced.
1. Rosential SF, Land MF, Fujimoto J. Comtemporary Fixed Prosthodontics. Elsevier. 2006.
2. Chrishopher CK et al. Practical Procedures in Implant Dentistry. Wiley Blackwell. 2021.
3. Varthis S et al. Interproximal open contacts between implant restorations and adjacent teeth. Prevalence-Causes-Possible solutions. J Prosthodont. 2019;28(2):806-810.
4. Stern N et al. The tilted posterior tooth. Part I: etiology, syndrome, an prevention. J Prosthet Dent. 1981 46(4):404-7.
5. Zhou J et al. Uprighting a mesially tilted mandibular left second molar with anchorage from a dental implant. J Prosthet Dent. 2020;123(1):50-53.