Abstract
With the advent of esthetic dentistry, implant treatment has gained much importance, and osseointegrated implant requires appropriate positioning three-dimensionally to achieve optimum functional and esthetic results. The various techniques available for implant site development are mostly invasive with variable outcomes. On resorting to alternate modalities, orthodontic extrusion/forced eruption is the primary choice as it is noninvasive and aids in optimal increase in the volume of residual bone and soft tissue. In orthodontic extrusion, the available periodontal ligament acts as a source of cell supply and signals, while the socket itself acts as a naturally occurring scaffold for regeneration. The presence of gingival inflammation or active periodontal disease is always a negative predictor for periodontal regeneration. Hence, periodontal ligament in an uninflamed state is essential before performing orthodontic extrusion. This article aims to provide an insight into the mechanisms by which the periodontal ligament cells act at a molecular level to provide an improved bone and soft tissue levels for optimum implant placement.
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