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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.