Surgical repositioning of osseointegrated implant through segmental osteotomy: A case report

ORTEGA-LOPES, Rafael; NÓIA, Cláudio Ferreira; ANDRADE, Valdir Cabral; CIDADE, Castelo Pedro Vemba; de Miranda CHAVES NETTO, Henrique Duque; MAZZONETTO, Renato
October 2011
Revista Dental Press de Periodontia e Implantologia;oct-dec2011, Vol. 5 Issue 4, p74
Academic Journal
Case Study
In order to achieve predictability of osseointegrated implant treatment, it is well known that reverse planning is considered an essential requirement. However, certain factors varying from professional ability to trans-operative intercurrences may result in misaligned implants, which are often seen at the time of prosthetic rehabilitation. To solve this case, the technique of segmental osteotomy with interpositional graft may be performed aiming at making possible subsequent prosthetic rehabilitation of such implants within satisfactory functional and esthetic standards. The objective of this paper is to show the applicability of this technique through a case report of an implant in the region of element # 11 which was improperly inserted in vertical position, leading to patient's esthetic dissatisfaction. At the end of treatment, it was seen that esthetic resolution of the case was possible with no need to remove the implant and consequent additional surgeries, thus coming to the conclusion that this technique is indicated in repositioning of osseointegrated implants.


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