Staged Interdisciplinary Treatment for Maxillary Central Incisor Implant Rehabilitation with Crowding and Severe Alveolar Defect: A Clinical Report

Implant rehabilitation of a maxillary central incisor in the esthetic zone is often challenging when severe alveolar bone loss is accompanied by inadequate restorative space owing to crowding.This clinical report describes the staged interdisciplinary treatment of a 20-year-old female presenting a crown-to-root fracture of the maxillary right central incisor, severe alveolar bone defect, and limited restorative space caused by anterior crowding.Following tooth extraction, alveolar ridge preservation (ARP) was performed to minimize ridge collapse, and orthodontic treatment was initiated to establish adequate space and alignment for prosthetically driven implant placement.Despite partial ridge preservation, additional site development with block bone grafting was required because of insufficient bone volume for implantation.After adequate bone regeneration, implant placement and prosthetic rehabilitation were completed with favorable esthetic and functional outcomes.This case demonstrates that a staged interdisciplinary treatment involving space creation and site development may facilitate implant rehabilitation in compromised anterior maxillary conditions.