Forced eruption prior to implant placement
My patient has an upper first bicuspid with significant vertical defects on the mesial and distal surfaces. If the tooth were extracted, this would result in an osseous defect that would require significant bone regeneration to create a useable site for an implant. In addition, the extraction and subsequent grafting may not result in an implant site with gingival tissue architecture in harmony with the adjacent teeth.
This seems like a perfect situation to use forced eruption of the hopeless bicuspid to coronally move the bone and gingival tissue and create a more ideal implant site.
I have used this technique with other patients and have referred them to an orthodontist. However, the treatment usually takes 9-12 months to complete, not the 3-4 months discussed by speakers like Dr. Henry Salama.
Can someone provide some lit references that detail / outline the technique for ortho extrusion that takes 3-4 months to complete?