About Soft and hard tissue treatmentA technique that may effectively create a greater volume of available hard and soft tissue in the vertical plane without surgical intervention is reported and explained. Limitations of the forced eruption are also discussed. Creating an esthetic implant-supported restoration is a challenge in patients who have alveolar resorption and/or attachment loss, especially when they present with a high smile line. Many methods to augment this loss of tissue have been proposed; most involve surgical procedures to add bone or bone substitutes to compensate for the loss of alveolar tissue.
A tooth with a poor periodontal prognosis is no longer a compromise to the esthetics and function of dentition. With the advent of implants, replacement of the extracted tooth with implants has become a predictable treatment modality. Dental implant treatment is a clinically established treatment modality with very good prognosis. However, in advanced stages of generalized periodontitis as in this case report, much of the supporting tissue has been lost. The limitations to the placement of implants in patients with tooth loss due to periodontitis are the inavailability of adequate bone and soft tissue for implant placement. Many different techniques are available for predictable bone augmentation. The approach is largely dependent on the extent of the defect and specific procedures to be performed for implant reconstruction.