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International journal of interdisciplinary dentistry

versión impresa ISSN 2452-5596versión On-line ISSN 2452-5588

Resumen

VILUGRON, Sebastian et al. Explantation and replacement of an implant with a facial dehiscence in the aesthetic region. Case report. Int. j interdiscip. dent. [online]. 2020, vol.13, n.3, pp.161-164. ISSN 2452-5596.  http://dx.doi.org/10.4067/S2452-55882020000300161.

An increase in the incidence of peri-implant soft tissue complications, such as facial recession and dehiscence, has been observed in the last years, mainly associated with an incorrect spatial placement of the implants. This case report focuses on the surgical management of an esthetic complication due to an incorrect implant position in the anterior region.

Case report.

Patient presented with recession and dehiscence in the facial area of implant 1.2, due to its incorrect placement. Explantation was performed with a high torque wrench, followed by the immediate placement of a new implant in combination with bone regeneration (sticky bone) and soft tissue augmentation.

Conclusion.

The use of atraumatic explantation techniques followed by guided tissue regeneration offers an interesting alternative for the treatment of severe defects in the esthetic region due to incorrectly placed implants. An adequate systematization of these protocols is key to improve their predictability.

Palabras clave : Dental implant; Dehiscence; Explantation; High torque wrench.

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