Management of complex asymmetric deficiency of hard and soft tissue for implant-based rehabilitation

Dental implants are a successful treatment modality for rehabilitation of missing dentition. Optimal placement from the prosthetic standpoint is imperative for function, form, and esthetics, but at the same time, attention has to be focused on the biologic aspect of three dimensionally optimal placement within a stable hard and soft-tissue envelope. Bone and soft-tissue quality, quantity, and location of these two important variables are equally important in determining the longevity of osseointegrated fixtures. Numerous methods have been reported to tackle bone and soft-tissue deficit with variable outcomes of each. This report presents one such case where alongside tissue deficit, there is severe arch asymmetry which needs correction for optimal prosthetic rehabilitation.