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Aesthetic Management of Malpositioned Implant Following Extraction of Endodontically Failed Tooth: a Case Report


Affiliations
1 Dept. of Prosthodontics and Implantology, MIDSR Dental College, Latur, Maharastra, India
2 Dept. of Prosthodontics, Pacific Dental College, Udaipur, India
3 Dept. of Endodontics, HKES Dental College, Gulbarga, India
4 Dept. of Periodontics, MIDSR Dental College, Latur, Maharastra, India
     

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Implant stability is attributed to its anchorage in the surrounding alveolar bone, referred to as osseo integration1,2. Proper implant placement in bone is necessary for the success of osseo integration and function3. Implant-supported single crowns have become a valid alternative to conventional fixed dental prosthesis due to their excellent clinical long-term results. Adequate bone base is a prerequisite for functionally and aesthetically optimum reconstruction of soft tissue architecture around a dental implant4. when implants are malpositioned axially, prefabricated or custom made angled abutments may be used for acceptable comfort, function and aesthetics. When implants are apico-coronally malpositioned gingival ceramics can aid in restoration of aesthetics and imitation of emergence profile of the restored tooth. However, along with good survival rates, aesthetic factors are important for success in anterior regions. Gingival harmony is an important element in the aesthetics of the smile. Clinicians need to have the essential knowledge to create an optimal soft-tissue profile around teeth and implant restorations. The following case report describes the treatment of a malpositioned osseo-integrated dental implant with an intruded axially placed implant fixture.

Keywords

Malpositioned Implant, Implant Aesthetics, Gingival Ceramics, Endodontic Failures
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  • Aesthetic Management of Malpositioned Implant Following Extraction of Endodontically Failed Tooth: a Case Report

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Authors

Sumit Deshpande
Dept. of Prosthodontics and Implantology, MIDSR Dental College, Latur, Maharastra, India
D. R. V Kumar
Dept. of Prosthodontics, Pacific Dental College, Udaipur, India
Sudhendra Deshpande
Dept. of Endodontics, HKES Dental College, Gulbarga, India
Ajay Gaikwad
Dept. of Prosthodontics and Implantology, MIDSR Dental College, Latur, Maharastra, India
Sharas Chandra
Dept. of Periodontics, MIDSR Dental College, Latur, Maharastra, India

Abstract


Implant stability is attributed to its anchorage in the surrounding alveolar bone, referred to as osseo integration1,2. Proper implant placement in bone is necessary for the success of osseo integration and function3. Implant-supported single crowns have become a valid alternative to conventional fixed dental prosthesis due to their excellent clinical long-term results. Adequate bone base is a prerequisite for functionally and aesthetically optimum reconstruction of soft tissue architecture around a dental implant4. when implants are malpositioned axially, prefabricated or custom made angled abutments may be used for acceptable comfort, function and aesthetics. When implants are apico-coronally malpositioned gingival ceramics can aid in restoration of aesthetics and imitation of emergence profile of the restored tooth. However, along with good survival rates, aesthetic factors are important for success in anterior regions. Gingival harmony is an important element in the aesthetics of the smile. Clinicians need to have the essential knowledge to create an optimal soft-tissue profile around teeth and implant restorations. The following case report describes the treatment of a malpositioned osseo-integrated dental implant with an intruded axially placed implant fixture.

Keywords


Malpositioned Implant, Implant Aesthetics, Gingival Ceramics, Endodontic Failures

References