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implants - international magazine of oral implantology

I special _ orthodontics Fig. 1_A very resorbed ridge in the edentulous area was evident together with bone dehiscence on teeth 31, 42, 44. A regeneration with xenogeneic bone of bovine origine (Endobone, Biomet 3i, USA) and a resorbable membrane (Osseoguard, Biomet 3i, USA) was performed. Fig. 2 _Six months after surgery one osteointegrated implant (Biomet 3i, USA) in the augmented area was placed. A regeneration of the bony fenestration on tooth 42 was also evident, while the control 44 remained unchanged. Fig. 3_Appropriate implant placement requires orthodontic movement. _Abstract Multidisciplinary treatment requires excellent communication and coordination amongst clini- cians in a variety of fields. Although this can be dif- ficulttoachieveatfirst,interdisciplinarycollabora- tion may result in efficient treatment that patients appreciate and benefit from. When appropriately coordinated,thejobofeachspecialistcanfacilitate the work of the other team members. For example, orthodontists can be of considerable assistance in periodontal and prosthetic treatment. Dental alignment of the arches can facilitate periodon- tist’s and prosthodontist’s objectives. This is done, forexample,byaligningthenaturaldentition,mak- ing possible a path of insertion for a prosthesis, or establishingaphysiologicalalveolarcrestaltopog- raphy to facilitate periodontal surgery. Orthodon- tictoothmovementcanthenbeofsubstantialben- efit for the patient. Many adults seeking routine restorative dentistry have misaligned teeth, which compromises either the final restorative outcome or the ability to clean the natural dentition. Ortho- dontic appliances have become smaller, less no- ticeable and easier to maintain during therapy. In- visible or lingual appliances further improve the rate of acceptance by adult patients. Many adults can now have their teeth aligned to improve their chewing function and their smiles with reduced aesthetic effect during therapy. In addition, im- plants have become a major part of the treatment planforadultswithmissingteeth.Ifadjacentteeth havedriftedintotheedentulousarea,orthodontics may be beneficial for providing adequate space for implantplacementandrestoration.Oneofthema- jor problems in acceptance of orthodontic treat- ment by adults is the length of treatment. For this reason, periodontists and oral surgeons may be helpful to the orthodontist, as they can facilitate the orthodontist’s work and thereby reduce treat- menttime.Endosseousimplantscanbeusedtoen- hance anchorage and increase movement control of orthodontically moved teeth. Furthermore, the alveolar architecture can be reshaped with peri- odontallyacceleratedosteogenicorthodonticaug- mentation (PAOO) surgery to produce the regional acceleratoryphenomenon(RAP),1,2 whichresultsin avastincreaseinosteoblastandosteoclastactivity. The biological result of this is osteopenia (decrease ofbonemineralisationwithoutlossofvolume).The clinicalresultissofterbone,whichmayallowfaster movement of teeth.3,4 In multidisciplinary treat- ment of adult patients, malocclusion may be asso- ciated with tooth loss, bone resorption and a con- sequent need for implants and/or periodontal treatment and bone augmentation. In these cases The surgically accelerated orthodontics in multidiscipli- nary implant treatment Authors_Federico Brugnami & Alfonso Caiazzo, Italy 18 I implants2_2011 Fig. 2 Fig. 3Fig. 1