After the growth stops, which is after the ages of 15 for female patients and 18 for male patients, the implant should ideally be positioned.[28] The implant may need to be removed and replaced if it was positioned during active growth because it may become misaligned or displaced by further growth (extrusion of the implant may ensue from remodeling of the alveolar ridge)[13]. The patient ...

In orthodontic therapy, spaces are often created by molar distalization, incisor proclination, interdental stripping, extraction, and, finally, arch enlargement. All possibilities were thoroughly considered in this situation before settling on the best way to open the area for the lost teeth. Molar distalization needed headgear, which the patient did not want, and incisor proclination was not a po...