Surgical removal of impacted tooth that failed to extrude after orthodontic traction in the esthetic zone followed by immediate implant placement along with guided bone regeneration: a case report


  • Kumari Deepika Department of Prosthodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India
  • Atul Bhatnagar Unit of Prosthodontics, IMS, Banaras Hindu University, Varanasi, UP, India
  • Rekha Gupta Department of Prosthodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India



Impacted tooth, Immediate implant, Orthodontic traction failure, Guided bone regeneration


The prosthodontic management of impacted tooth that failed to extrude after orthodontic traction is a clinical challenge. There are many factors for orthodontic treatment failure like ankylosis and root exposure. Prosthodontic treatment options include surgical removal of failed tooth followed by implant placement either using staged approach or simultaneous approach. In this case report, the tooth that failed to erupt after orthodontic traction and tooth with root resorption in esthetic zone was managed successfully by immediate implant placement. Guided bone regeneration was performed along with implantation to compensate associated bone loss.


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