PMC6011113_01
Temporary crown on teeth 11 adapted to the removable prosthesis.
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fig1
The new temporary crown was fitted to the removable partial denture that was used by the patient (Figure 1).
Poorly positioned implant.
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fig2
Removal of the implant with a retrieval tool.
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The implant was gradually removed using the implant removal instrument (Implant Retrieval Tool; Nobel Biocare), with antirotational movement (Figure 3).
Installation of the new implant.
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fig4
Specifically, the implant was placed closer to tooth 14 in the buccal-palatine direction on the bone ridge (located around 1 mm for the palatal from an imaginary curvature passing through the buccal surfaces of the present teeth and 1 mm infraosseo in the coronoapical direction) (Figure 4).
Installation of the temporary fixed partial denture.
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fig5
This was followed by the fabrication of a temporary fixed partial prosthesis with retention used during the osseointegration phase on teeth 11 and 14 (Figure 5): this was only for esthetic purpose.
Occlusal view of the gingival conditioning.
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fig6
During this phase, periodic acrylic resin implements were added to the temporary prosthesis to promote gingival conditioning (Figures 6 and 7) and black triangle closure (Figures 8 and 9) and also to improve gingival esthetics.
Buccal view of the gingival conditioning.
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fig7
During this phase, periodic acrylic resin implements were added to the temporary prosthesis to promote gingival conditioning (Figures 6 and 7) and black triangle closure (Figures 8 and 9) and also to improve gingival esthetics.
Presence of the black triangle before gingival conditioning.
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fig8
During this phase, periodic acrylic resin implements were added to the temporary prosthesis to promote gingival conditioning (Figures 6 and 7) and black triangle closure (Figures 8 and 9) and also to improve gingival esthetics.
Gradual closing of the black triangle.
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fig9
During this phase, periodic acrylic resin implements were added to the temporary prosthesis to promote gingival conditioning (Figures 6 and 7) and black triangle closure (Figures 8 and 9) and also to improve gingival esthetics.
Final appearance of the implant prosthesis.
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fig10
At the end of two months, the implant prosthesis with a mesial cantilever was installed (Figure 10).