Removal of Implant and New Rehabilitation for Better Esthetics

Abstract

Tooth loss can result in loss of facial esthetics, in addition to its effect on mastication, swallowing, and speech. Adequate planning is required in order for the prosthetic treatment of the teeth and implants to be successful. Here, we present a clinical case demonstrating that improper positioning of an implant can make prosthetic rehabilitation unfeasible, necessitating new surgical and rehabilitation planning to achieve the desired esthetics. The patient had a missing right lateral incisor and cuspid, and a buccally directed implant. The preferred treatment regimen involved the removal of this implant and placement of another one more properly positioned distally and three dimensionally. The repositioning of the implant made rehabilitation treatment with a mesial cantilever possible. Due to esthetic considerations, gingival conditioning in the cantilever region was performed in the temporary prosthesis phase. The changes adopted in planning the surgery and rehabilitation resulted in good esthetics as well as functional outcomes.

Surgical Considerations in Placement of Immediate Dental Implants- A Case Report

“…Dental implant therapy is the most conservative treatment option for the lost dentition [1]. Despite the high success rate of this treatment modality, long-term follow-up studies have shown unesthetic results and the need for additional surgical procedures [2], resulting in implant removal and/or additional procedures to recover hard and soft tissue losses [3]. Clinical demand focused on reduction of dental implant therapy time has lead research studies in the field of immediate implant placement 4].…”