Fig. 9 Fig. 11 Fig. 10 Fig. 12 After four months, integration of the implant was confirmed and a permanent, screw retained porcelain over noble metal implant crown was fabricated and subsequently seated. A final Hawley wrap around retainer was delivered. The importance of lifetime wear of retainers was reiterated to the patient. orthodontic movement that was achieved in just three months following the corticotomy procedure. The final records in this case reflect the success in creating a canine eminence in the UL3 area. (Fig. 12) Conclusion This case underscores the importance of control-ling the details of the position of the teeth and contours of the periodontium in a smile makeover case. The timing of the use of a correctly contoured temporary during the healing phase, and corticotomy procedures to facilitate RAP, in conjunction with orthodontics, is essential in a case like this. In these situations, a general dentist, who is familiar with orthodontics as well as other dental specialties, is uniquely positioned to meet the patient's needs in the best possible way. Discussion As seen in Fig. 9, the fabrication of a custom tempo-rary to help shape the bone and gingiva during the healing phase can be extremely successful. This tech-nique helps create interproximal papillae and pleasing gingival contours. (Fig. 10) The alveolar corticotomy procedure is very beneficial in accelerating orthodontic movement by taking advantage of RAP in bone. This technique was pioneered by the Wilcko brothers, who named the procedure Wilckodontics. Fig. 11 shows the amount of www.orthodontics.com Fall 2019 19
Journal of the American Orthodontic Society Fall 2019: Page 19
