Aesthetic management of malpositioned implant followingextraction of endodontically failed tooth: A case report

Implant stability is attributed to its anchorage in the surrounding alveolar bone, referred to as osseo integration^1,2. 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.