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Multidisciplinary management of implant failure: A case report
Alaa Samadi1, Zouheir Ismaili2, Amal El Yamani1
1Department of Prosthodontics, Faculty of Dentistry Mohammed V University in Rabat Rabat Morocco.
Clinical Case Reports
|August 6, 2024
Summary
Severe peri-implantitis necessitates implant removal and ridge reconstruction. An ovate pontic conventional bridge effectively restored function and aesthetics in the premolar region following implant loss.
Area of Science:
- Dental Implantology
- Periodontology
- Prosthodontics
Background:
- Peri-implantitis causes progressive bone loss, often leading to implant failure and the need for removal.
- Managing residual ridge deformities post-implant removal is crucial for optimal aesthetic and functional outcomes.
- Surgical reconstruction techniques are vital for restoring bone and soft tissue dimensions.
Observation:
- A case report details the multidisciplinary management of extreme peri-implantitis in a 51-year-old female patient requiring upper right first premolar implant removal.
- Guided bone regeneration using an alloplastic bone graft and collagen membrane, combined with a connective tissue graft, was performed for socket and soft-tissue augmentation.
- A conventional provisional bridge with an ovate pontic design was utilized during the healing phase.
Findings:
- A 6-month healing period resulted in excellent marginal gingival adaptation around the provisional restoration.
- Cone beam computed tomography confirmed significant bone fill and stable buccolingual dimensions.
- A definitive all-ceramic bridge featuring an ovate pontic was selected for long-term prosthetic rehabilitation.
Implications:
- Multidisciplinary management combining surgical reconstruction and conventional prosthetics offers a successful treatment strategy for advanced peri-implantitis requiring implant removal.
- The ovate pontic design in conventional bridges proves effective for rehabilitating the premolar sector, traditionally associated with anterior aesthetics.
- This approach highlights the potential for achieving favorable aesthetic and functional results even in complex cases of implant failure.
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