The aims of this study were to discuss the use of orthodontics for oral rehabilitation in patients, particularly for dealing with bone defects, and to present a clinical case in which the orthodontic extrusive remodeling approach was used for bone gain in the posterior maxillary region, with subsequent implant placement. After 18 months of treatment, the dimensions of the alveolar process were restored and an implant was fixed in the maxillary region, with appropriate bone and gingival levels. Based on the literature and clinical evidence, orthodontic extrusion may be considered as an alternative to surgery to obtain a suitable implant site.