Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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Multidisciplinary treatment of an impacted maxillary canine with immediate implant installation


1 Department of Dentistry, Center for Education and Research on Dental Implants, Federal University of Santa Catarina, Florianópolis, Brazil
2 Department of Dentistry, Federal University of Santa Catarina, Florianópolis, Brazil

Correspondence Address:
Mario Escobar,
Department of Dentistry, Center for Education and Research on Dental Implants (CEPID), Federal University of Santa Catarina, Florianópolis
Brazil
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jisp.jisp_585_20

Maxillary permanent canines are the second most frequent cases of impacted teeth; their resolution demands a multidisciplinary evaluation to delineate a viable treatment plan based on the individual esthetic and functional outcomes required. An impacted maxillary permanent canine which was ankylosed in a horizontal position was extracted followed by a regeneration technique, filling the bone defect with biomaterial. An implant was immediately installed in the alveolus of the extracted deciduous canine, and a connective tissue graft was buccally positioned. After the osseointegration period, a modified Palacci and Nowzari surgical technique was performed to gain papilla, and the implant was loaded with an interim restoration with a proper profile to manipulate the soft-tissue contour. Finally, the definitive restauration was cemented achieving the desired outcomes. The achieved clinical outcomes remain stable during a 2-year follow-up. A successful management of this challenge esthetic case lies in the details at surgical and prosthetic phases based in biological response of the peri-implant tissues.


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    -  Apaza-Bedoya K
    -  Escobar M
    -  Peñarrieta-Juanito G
    -  Henriques B
    -  Magalhães Benfatti CA
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