Weichgewebevermehrung durch kieferorthopädische Zahnbewegung

The cases presented in this article demonstrate an alternative treatment method for restoring anterior teeth using single-tooth implants. In this method, anterior teeth with a negative prognosis are extruded, using a simple orthodontic device consisting of two molar bands, a transpalatal arch, and a titanium arch that optionally may be attached lingually to improve esthetics. When this device is inserted and activated, the sorrounding soft tissues will be remodeled in the direction of extrusion. After a retention period of three month, the teeth can be extracted. The implants can often be inserted during the same treatment session. The method presented creates a sufficiently extensive implant bed, minimizing the risk of gingival recession, papillary loss, and implant surface exposure. Parole chiave: Weichgewebemanagement, kieferorthopädische Extrusion, Implantation, Ästhetik