An alternative approach sequence to early implant placement and bone grafting over upper incisor traumatic loss in a malocclusion patient

Dental implants have become the treatment of choice for partially edentulous patients. A single anterior tooth implant can offer highly predictable results when criteria such as minimum 2-mm bone thickness in the buccolingual dimension and adequate implant-tooth distance in the mesiodistal dimension are met. Treatment of traumatic injuries in the anterior maxilla can be challenging. Conditions such as increased overjet, short face profile, and Class II dentoskeletal malocclusions increase the risk of dental trauma. Furthermore, placing an implant in a protruded position, such as in a patient with increased overjet, increases the risk of further trauma to the implant, which can be catastrophic. The treatment plan in this case was based on the patient's preference and the ridge resorption process after tooth extraction. After implant insertion, the patient decided to undergo orthodontic treatment. The result of implant-incorporated treatment can be unpredictable and compromised if implant placement is performed before necessary orthodontic treatment. The dimensions of the alveolar ridge decrease with tooth extraction.