Forced Orthodontic Eruption (FOE) before Dental Implantation

The treatment of esthetic areas with dental implants represents a new challenge for the clinician. Placementof a single-unit implant is indicated for fractured or periodontally compromised teeth. In 1993, a modification ofthe forced eruption technique, called “orthodontic extrusive remodelling,” was proposed as a way to augment both soft- and hard-tissue profiles at potential implant sites. This case report describes augmentation of the coronal softand hard tissues around the teeth with severe periodontal destruction , which was achieved by forced orthodontic extrusion before implant placement. This technique may be used to improve primary anchorage of a dental implant, fill the alveolar socket with bone, preserve interdental bone height and increase the amount of attached gingiva.

An approach to soft- and hard-tissue augmentation is forced orthodontic eruption (FOE). As first described by Heithersay and Ingber, this technique is based on osteophysiologic and orthodontic principles. It has been usedf requently because of its demonstrated advantages, including correction of isolated infrabony defects, repositioning ofthe gingival margin and clinical lengthening of thecrown.

Glass Ionomer filling into severe furcation invlovement of Molar tooth

Treatment of Class III furcation has historically been less than predictable. Long-term studies have demonstrated poor survival rates of teeth with advanced furcation involvement. Although multiple treatment modalities have been attempted to retain teeth with severe furcation invasion, clinical success has not been predictable. Treatment attempts range from non-surgical therapy, furcation obliteration,surgery to increase access to the furcation, root resections, tunnel procedure, guided tissue regeneration, and a combination of graft materials, membranes, and coronally positioned flaps. Regenerative techniques that have been successful in the treatment of Class II mandibular furcation involvements have been less predictable when performed in Class III situations. In the past restorative materials have been used to obliterate furcation; the goal was to improve plaque control by eliminating the anatomic niches within the furcation where bacteriacan accumulate. Also, in the past polymericreinforced zinc oxide-eugenol (IRM), amalgam,glass ionomer, and resin ionomer restorative materials were utilized to fill Class III furcation invasions.

@Potential advantages of an occlusive barrier such as glass ionomer include:
• Ease of placement
• Does not require a suture for stability
• Elimination of a second stage procedure for retrieval of the membrane since it is permanently bonded
• Long junctional epithelial attachment to the glass ionomer
• Does not require complete coverage by the gingival flap
• Bacteriostatic due to fluoride release
• Lower cost

The use of a glass ionomer to regenerate the attachment apparatus in the treatment of advanced furcation involvement was not the goal of the treatment. There was no intention to regenerate any tissue, hard or soft. The goal of selecting this mode of therapy was simply to retain hopeless molars with advanced furcation defects.

Dental Hygienie is Important!!

Finally i brought my friend, Alex to visit a dentist whom i know can treat his gums problems!! As most of you know, I was in dental practise during my NS stinct and have been very particular about oral hygiene not only for myself, but also for my parents and friends. For people i just know or do not know very well, i seldom dwell onto that since it can be quite embarassing.

So for all friends who read this, remember!! Sometimes i really wana tell you but dunno your reactions lah~ So….. U guys know lah!! Approach me if you want to touch your dental issues.

Anyway, we went to a dental clinic one of my dental officers, Dr Edwin Oh, was working for after his dental bond (yes, all dentals students are "bonded" after graduation). Nice environment with a beautiful view of Orchard area!! And i had a good time remembering the Kavo Dental chair used; amongst so many dental chairs, Kavo reli best!!


Alex’s gums problem was really horrible!! He had plaque and calculus (not maths) covering some caries on his upper teeth!! Horrible right?? That's a bad thing of not taking care of your teeth and gums!! Yes, they come together!! And he had calculus all over his teeth and in between teeth!! Yes, in between teeth!! Why?!?! Becoz this bloody guy never flossed his teeth!!

So everyone, do remember to buy a good floss! My personal recommendation is Oral B Satin floss! It's fabulous!! My doc friend actually have to use a dental instrument called sickel for Alex’s gums~ In dental jargon, using a sickel means the problem was bad. Hahaha. Or bi good, never take care of his gums.


Alex said he dun feel pained so Dr Oh’s skills must be damn good~ Hehe. Anyway, if you guys and gals are interested in having a dental checkup, you can approach me for my friend’s number. Fyi, all e above pics were approved by Alex!