Clinical Tips

Poor implant position: Case study treating a complex implant case in the esthetic anterior zone

Aug. 8, 2022

This patient presented with a “loose implant in the front.” Clinical treatment required explantation of the poorly placed implants, bone grafting, and implant replacement.

Scott Froum, DDS, Editorial Director

Editor’s note: To see other similar cases and learn how to execute and treatment plan complex implant cases in the esthetic anterior zone, please register for the Perio-Implant Advisory Symposium.

A 31-year-old male with a noncontributory medical history presented to the office with a “loose implant in the front.”

Clinical examination revealed a mobile and failed implant site no. 10 with abscess. The patient had an extraction of nos. 7, 8, 9, and 10, and implants were placed immediately one year prior. Four implants were placed into site nos. 7, 8, 9, and 10 in poor position. Evaluation of a CBCT revealed perforation of the buccal plate on implant nos. 7 and 10 and placement of no. 8 outside the buccal alveolar housing.

Treatment required explantation of all the implants with augmentation and implant replacement. Details of this case are shown here.

About the Author

Scott Froum, DDS | Editorial Director

Scott Froum, DDS, a graduate of the State University of New York, Stony Brook School of Dental Medicine, is a periodontist in private practice at 1110 2nd Avenue, Suite 305, New York City, New York. He is the editorial director of Perio-Implant Advisory and serves on the editorial advisory board of Dental Economics. Dr. Froum, a diplomate of both the American Academy of Periodontology and the American Academy of Osseointegration, is a volunteer professor in the postgraduate periodontal program at SUNY Stony Brook School of Dental Medicine. He is a PhD candidate in the field of functional and integrative nutrition. Contact him through his website at drscottfroum.com or (212) 751-8530.