Two-piece mesostructure and vertically oriented locking screws design for implant-assisted prosthesis in the esthetic...

Restoration of the malaligned dental implants in the esthetic zone is a challenge for dental practitioner because of the difficulty in obtaining balance and harmony between position and color of the final prosthesis and the adjacent teeth. Mesostructure is a part of the prosthesis that located ontop of the dental implant and bearing the final prosthesis. It has a form of milled bar to bear an overdenture or as abutment used for the correction of malaligned dental implants. Such approach maintains screw-retained prosthesis option while allowing complete retrievability, improved accessibility, usage of thicker abutment screws, and acceptable esthetic outcomes. In this case report, a two-piece mesostructure was designed to correct the malposition of dental implants in the esthetic zone with 1-year follow-up system.