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Abstract

The replacement of teeth by osseointegrated implants is usually restricted to patients with completed craniofacial growth. Implant insertions in children, adolescents and young adults who we refer to as young patients are circumvented due to several unfavorable potential effects including trauma to tooth germs, tooth eruption disorders, and multidimensional restrictions of dental alveolus and skeletal craniofacial growth. The clinical and radiographic findings have clearly shown that the implants do not behave like normal erupting teeth during the development of the dentition. Neither does the fixtures move together with the adjacent teeth, but behaves more like ankylosed teeth. This was a case of a young patient suffered from car accident when she was 13y/o, and which resulted in missing of three upper anterior teeth followed by replacement with osseointegrated dental implants. This case presentation demonstrates a surgical technique that allows the use of subapical osteotomy and distraction osteogenesis in combination with conventional orthodontic treatment to three-dimensionally reposition an implant-bony segment into a more favorable aesthetic and biomechanical position, thus improving the vertical dental alveolus deficiency and leveling the gingival contours with those of the adjacent teeth.

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