Management of an Esthetic Dental Implant Complication: A Case Report - Abstract
The 3-dimensional positioning of a dental implant is a key factor in achieving an adequate esthetic result. If a dental implant is placed too far facially, especially in the maxillary anterior sextant, gingival recession can be expected, which eventually may lead to a compromised esthetic result. This clinical case report represents the surgical and prosthetic management of a 5 mm gingival recession over implant #8 due to an inadequate buccal-lingual position of the dental implant as well as an over countoured provisional crown. Numerous techniques for addressing dental implants esthetic complications have been described in the literature; however the predictability and long term success of such procedures is yet to be determined. Surgical management and treatment consisted on the debridement of the granulomatous tissue and encapsulated previous xenograft bone particles, air abrasion of the implant with aluminum oxide particles, and application of tetracycline paste over the implant surface. FDBA (Regener Oss Allograft, Biomet 3i, Palm Beach Gardens, FL, USA), rhPDGF-BB (GEM 21s, Osteo health, Shirley, NY, USA), a resorbable cross-linked collagen membrane (Osseo Guard Flex, Biomet 3i, Palm Beach Gardens, FL, USA) and a palatal pedicle graft were chosen and used