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Orthodontic Forced
Eruption:
A Team Approach in Aesthetic Treatment
Authored by
Ahmad Soolari, DMD, MS; Duane Erickson, DDS; and
Amin Soolari, CDRT
Upon successful completion of this CE activity 2 CE credit hours may be awarded
A Peer-Reviewed CE Activity by
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courses is not a substitute for sound clinical judgment and accepted standards of care. Participants are urged to
contact their state dental boards for continuing education requirements.
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CASE REPORT
A 55-year-old female smoker was not happy with her smile
Figure 3. Palatal
and rejected a proposed treatment plan from another office view showing
that involved extraction of “2 upper front teeth” and placement significant
attachment loss,
of 2 adjacent implants. Clinical and radiographic evaluation dehiscence, and
heavy subgingival
disclosed excessive gingival display, incomplete passive calculus (October
eruption, asymmetry of the maxillary central incisors, a 9, 2010).
midline diastema, and significant attachment loss in the
anterior maxilla (Figures 1 to 4). The only tooth in her anterior
maxilla that showed aesthetic proportions was the left central Figure 4. Facial
incisor (No. 9); the other teeth had rather short crowns. view of teeth Nos.
8 and 9 showing
A treatment plan was recommended to harmonize the the buccal plate,
remaining teeth in the aesthetic zone with the maxillary left which was missing
on the palatal
central incisor. The proposal included OFE following aspect (October 9,
nonsurgical periodontal therapy (scaling and root planing) 2010).
and surgical treatment, which included flap surgery to treat crown lengthening surgery for the remaining maxillary
teeth No. 8 (maxillary right central incisor) and No. 9, and anterior teeth. The patient agreed to periodontic-
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