Author/Authors :
Matsumoto, Wilson Dental Materials and Prosthodontic Department - Dental School of Ribeirão Preto - University of São Paulo, Ribeirão Preto, SP, Brazil , Garone Morelli, Victor Dental Materials and Prosthodontic Department - Dental School of Ribeirão Preto - University of São Paulo, Ribeirão Preto, SP, Brazil , Pereira de Almeida, Rossana Dental Materials and Prosthodontic Department - Dental School of Ribeirão Preto - University of São Paulo, Ribeirão Preto, SP, Brazil , Elias Trivellato, Alexandre Dental Materials and Prosthodontic Department - Dental School of Ribeirão Preto - University of São Paulo, Ribeirão Preto, SP, Brazil , Edvard Sverzu, Cássio Dental Materials and Prosthodontic Department - Dental School of Ribeirão Preto - University of São Paulo, Ribeirão Preto, SP, Brazil , Hirono Hotta, Takami Dental Materials and Prosthodontic Department - Dental School of Ribeirão Preto - University of São Paulo, Ribeirão Preto, SP, Brazil
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.
