Orthodontically assisted vertical augmentation in the esthetic zone.

Severe periodontal disease leading to tooth loss causes multiple challenges when treatment planning replacement of these teeth with implant-supported restorations. Provisionalization and transitioning the patient from natural dentition to implant-supported restorations without use of removable prostheses can be difficult to achieve. A detailed evaluation and comprehensive treatment plan should precede extraction of the affected teeth. Forced eruption as a method of modifying the osseous and gingival topography has been established. This clinical report illustrates the use of nonmaintainable teeth to simultaneously develop the site for future implant placement, as well as support a fixed interim restoration during treatment. Patient was classified as an American College of Prosthodontists Prosthodontic Diagnostic Index (ACP PDI) class IV patient.