Implant Malposition with Severe Anterior Periodontal Tissue Loss: An Interdisciplinary Treatment Strategy

This case report describes the interdisciplinary management of a 58-year-old woman with a misaligned dental implant in the maxillary left lateral incisor region, causing esthetic and functional challenges. Initial assessments revealed significant bone loss around the compromised implant, an asymmetric smile, and excessive gingival display. The treatment included slow orthodontic extrusion to reposition adjacent teeth, promoting bone and periodontal regeneration, and orthodontic intrusion on the contralateral side to correct occlusal cant and improve gingival esthetics. Aligners with miniscrew anchorage ensured precise tooth movement and improved conditions for soft tissue grafting. Periodontal procedures enhanced tissue architecture and supported long-term stability, while the final prosthetic rehabilitation successfully restored function and esthetics, emphasizing the importance of interdisciplinary collaboration for complex cases.