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International Journal of Periodontics & Restorative Dentistry
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Int J Periodontics Restorative Dent 33 (2013), No. 5     15. Aug. 2013
Int J Periodontics Restorative Dent 33 (2013), No. 5  (15.08.2013)

Page 575-581, doi:10.11607/prd.1199, PubMed:23998153


Surgical and Prosthetic Correction of Malposed Maxillary Implants: A Case Report
Kemper, Robert / Galmiklos, Adam / Aroca, Sofia
This case report presents a patient who underwent a major correction of malpositioned implants. Two implants were previously placed in a 30-year-old woman to replace the maxillary right central and lateral incisors without any attempt to reconstruct the alveolar and soft tissue defects. This resulted in a significant esthetic problem. The position of the implants was successfully corrected via the mobilization of a bone block in which the implants were maintained. The bone block was then fixed in a predetermined optimal position. After fixing the bone block, gaps were filled with Bio-Oss and covered with a membrane. Nine months after bone healing, a periodontal technique was used to improve soft tissue esthetics. The final result was achieved with the combination of bone surgery, soft tissue management, and progressive adaptation of implant-supported crown restorations.