The surgeon, periodontist, and restorative dentist depend upon the alveolar bone to support teeth and implants in a stable, healthy, and hygienic environment. However, lack of alveolar bone support is perhaps the most common and challenging dilemma confronting the clinical team. Although bone-grafting techniques have been developed to overcome the lack of alveolar support, these techniques add time, expense, and some degree of unpredictability to the final restorative result. Orthodontics can positively influence the breadth and depth of the alveolar bone around both teeth and implants in specific situations. However, the influence of orthodontic alveolar remodeling also may be somewhat unpredictable in some cases. This presentation will use many clinical examples to define what, when, and how adjunctive orthodontics can help to overcome challenging alveolar bone defects in the periodontic-restorative patient.
Vincent Kokich, DDS, MSD, is a professor in the Department of Orthodontics at the University of Washington, Seattle; he also maintains a private orthodontics practice in Tacoma, Washington. He has published numerous book chapters and articles and has delivered more than 600 presentations throughout the world. He serves as case reports editor for the American Journal of Orthodontics and Dentofacial Orthopedics, as associate editor for The Angle Orthodontist and Practical Reviews in Orthodontics, as an advisory board member for the Journal of Esthetic Dentistry, and on the editorial boards of several journals. Dr Kokich is the past president of the American Academy of Esthetic Dentistry and the American Board of Orthodontics.