- Contraindications
- Developing patients (particularly in the maxilla where vertical growth continues after permaenet teeth are fully erupted)
- Uncontrolled periodontal disease
- Aesthetic areas with thin, highly scalloped gingiva
- Adjacent periapical pathology
- Non-motivated patients
- Relative contraindications
- Adjacent root flaring (correction needed with orthodontics)
- Smokers (increased risk of failure in type IV bone)
- Connective tissue disease
- Diabetes
- Autoimmune
