Interdisciplinary guided planning
External Root Resorption Managed With Interdisciplinary Implant Planning
A multidisciplinary anterior implant case where orthodontic preparation, immediate implant placement and soft tissue grafting were coordinated for aesthetic rehabilitation.
Clinical concern
Recovery context
Digital planning and surgical proof
Space and emergence planning
The orthodontic and restorative space were reviewed before implant placement to support a more favorable emergence profile.
Aesthetic-zone implant position
The implant was planned around future restoration contours, soft tissue stability and the limitations of the extraction site.
Soft tissue support strategy
Connective tissue grafting was integrated into the treatment sequence to support tissue thickness and contour.
Materials, guides and technique context
Implant system
Premium implant systems may be selected according to anatomy, restorative plan and clinical indication.
Biomaterials
Soft tissue grafting and site-specific regenerative decisions depend on diagnosis and defect anatomy.
Surgical guide
Guided placement may be considered when the digital plan, access and extraction-site anatomy are suitable.
Technique
Atraumatic extraction, immediate implant placement and soft tissue grafting in an aesthetic-zone sequence.
Two-specialist planning value
Aesthetic-zone implant cases benefit from combined review of implant position, orthodontic space, grafting needs and provisional/restorative design.
What the patient can understand before surgery
The tooth, space and future implant restoration are reviewed before extraction.
The patient can understand why orthodontic or restorative preparation may be needed first.
Soft tissue and implant position are planned as one aesthetic-risk system.
Diagnosis and treatment sequence
Problem
External root resorption affecting an anterior tooth, with insufficient space to place an implant in the ideal restorative position.
Diagnosis
Compromised anterior tooth requiring interdisciplinary planning before extraction and implant placement.
Planning
The case required coordination of orthodontic space, implant position, soft tissue support, provisionalization and restorative emergence profile.
Treatment
Orthodontic space development was followed by atraumatic extraction, immediate implant placement and connective tissue grafting to support soft tissue architecture.
Outcome
Soft tissue healing was favorable at early follow-up, and the final restoration was delivered after healing with stable aesthetic integration.
Key clinical points
External root resorption in the aesthetic zone
Orthodontic preparation before implant placement
Immediate implant placement after extraction
Connective tissue graft to support soft tissue contour
Important note
Individual results vary. Aesthetic implant outcomes depend on bone volume, soft tissue phenotype, tooth position, restoration design and healing response.
This case is shown for educational and informational purposes. A similar concern may require a different treatment plan after clinical and radiographic assessment. Digital planning and surgical guides support accuracy when indicated, but they do not remove biological risk or the need for intraoperative surgical judgment.
Would you like your case reviewed?
Send your concern before arranging travel or treatment. The team can guide you on the records needed for a first assessment.