The rehabilitation of complex cases in the anterior region of the maxilla may require knowledge of several dental specialties. when dental involvement also causes bone and gingival involvement, management usually requires adjustment of gingival zenitis and bone graft to compensate for bone loss.

Objective: to discuss a case of previous orthodontic treatment for implant-prosthetic rehabilitation in the anterior region.

Case report: This case report describes a 40-year-old patient who came with the intention of extracting the tooth and installing a bridge. The implant-prosthetic treatment was performed after previous orthodontic treatment to adapt the gingiva and space.

Conclusion: The interrelationship of specialists in oral rehabilitation improved the aesthetic and functional result of this complex case. Orthodontic mechanics and periodontics adapted the space and improved the periodontal condition before the implant was installed, resulting in a very satisfactory aesthetic, improving the patient’s self-esteem.


  1. Esper MALR, Salvia ACRD, Albuquerque MTP, Macedo NL. Orthodontic extrusion and implant site development: two case reports. Rev Braz Dent Sci. 2014;17(4):125-30.
  2. Nery JC, Jarry CR, Moura MB, Luz, VLQ, Simamoto Jr PC, Guimaraes GF. Implant installation and immediate provisional after extraction on teeth with external resorption. Rev Full Dent Sci. 2015;6:181-5.
  3. Antoun JS, Mei L, Gibbs K, Farella M. Effect of orthodontic treatment on the periodontal tissues. Periodontol. 2000. 2017;74(1): 140–57.
  4. Bauer C, Boileau MJ. Bazert C. Implementation of orthodontic extraction for pre-implant soft tissue management: a systematic review. Int Orthod. 1019;17(1): 20–37.
  5. Lin IP, Lai EHH, Chang JZC, Wang CY. Staged orthodontic treatment in preparation for immediate implant placement: a clinical report with a 5-year follow-up. J Prosthet Dent. 2019;122(6):503-9.
  6. Bez LV, Benfatti CAM, Magini RS, Bez FV, Volpato CAM. Rehabilitating unitary implants with immediate loading in the aesthetic area. Rev Full Dent Sci. 2016;7:35-47.
  7. Chappuis V, Araújo MG, Buser D. Clinical relevance of dimensional bone and soft tissue alterations post-extraction in esthetic sites. Periodontol 2000. 2017;73(1):73-83.
  8. Mattos TB, Gulinelli JL, Santos PL, Bragança R, Cerdeira F, Mayrink LEM. Immediate rehabilitation in an alveolus aesthetic area with great bone involvement. Rev Full Dent Sci. 2016;7:35-40.
  9. Costa TZ, Braga LHF, Vieira PGM, Magalhães SR. Immediate loading implant: a literature review. Rev de Inic Scient. 2014;4:57-64.
  10. Passoni B, Dalago HR, Cid R, Bianchini MA, Benfatti CAM, Magini RS. Immediate implant with immediate, definitive aesthetics and topographic monitoring of the vestibular bone plate - case report. Rev Full Dent Sci. 2015;6:183-90.
  11. Maeda S, Sasaki T. Modality and risk management for or thodont ic ext rusion procedures in interdisciplinary treatment for generating proper bone and tissue contours for the planned implant: a case report. Int J Implant Dent. 2015;1(1):26.
  12. Cavalcante AM, Grempel RG, Nogueira Neto FF, Cavalcanti AM, Barreiro FMP. Anterior dental rehabilitation through slow orthodontic extrusion and implant installation with immediate provisionalization - case report. Rev Full Dent Sci. 2019;10:52-60.
  13. Alsahhaf A, Att W. Orthodontic extrusion for pre-implant site enhancement: principles and clinical guidelines. J Prosthodont Res. 2016;60(3):145-55.
  14. Mandakovic D, Neira P. Vestibular alveolar bone recovery using orthodontic treatment: case report. Rev Clin Perio Implantol Rehabil Oral. 2017;10(2):77-9.
  15. Acosta ICD, Navarro IC, Peña JLZ, Herrera SA. Importance of orthodontic treatment for the effectiveness of dental implants. Rev Cubana Estomatol. 2015;52(3):112-7.
  16. Conserva E, Fadda M, Ferrari V, Consolo U. Predictability of a new orthodontic extrusion technique for implant site development: a retrospective consecutive case-series study. Scient World J. 2020;4576748.
  17. Rosa JCM, Rosa APCO, Francischone CE, Sotto- Maior BS. Recovering function and aesthetic of a fractured tooth using the immediate dentoalveolar restoration technique: case report with a 3-year follow-up. Dental Pres Implantol. 2014:8(1):86-94.
  18. Tortamano P, Camargo LOA, Bello-Silva MS, Kanashiro LH. Imediate implant placement and restoration in the esthetic zone: a prospective study with 18 months of follow-up. Int J Oral Maxilofac Implants. 2010;25(2):345-50.
  19. Van Nimwegen WG, Goené RJ, Van Daelen ACL, Stellingsma K, Raghoebar GM, Meijer HJA. Immediate implant placement and provisionalisation in the aesthetic zone. J Oral Rehabil. 2016;43(10):745–52.



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