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Journal of Stomatology Oral and Maxillofacial Surgery
Volume 119, n° 1
pages 52-55 (février 2018)
Doi : 10.1016/j.jormas.2017.10.005
Received : 10 April 2017 ;  accepted : 2 October 2017
Case Reports

Mobilization of malpositioned dental implant using segmental osteotomy: A case report
 

M. Gholami
 Department of Oral and Maxillofacial Surgery, School of Dentistry, Mashhad University of Medical Science, 5th floor, 117 No, 13, North Kosar St, Vakilabad Blvd, Mashhad, Iran 

Abstract

By increasing the number of replaced tooth with dental implants, the number of poorly positioned implants is also increased. In this article, we present our experience about a 48-year-old female who was referred to our department for resolving prosthetic problem regarding two malpositioned implants inserted in the upper jaw. The interocclusal space was insufficient and the two adjacent implants had excessive buccal angulation. To overcome these problems, segmental osteotomy of the alveolar bone containing two implants has been done. After palatal and apical repositioning of the bone block, rigid fixation was performed using a 4-hole miniplate and four 5mm monocortical screws. Two weeks after the procedure, a conventional fixed prosthesis was constructed with regard to the esthetic and functional aspects. During the two-year follow-up, the patient was satisfied with the result and there were no complications, such as alveolar bone necrosis, marginal bone loss, implant failure or infection.

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Keywords : Dental implant, Malpositioned, Segmental osteotomy




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