When to save or remove implants in the smile zone: A clinical report of maxillary lateral incisor implants in malposition

Objective The following is a clinical report addressing when to save or remove implants with esthetic deficiencies in the smile zone as well as the sequence and timing of interdisciplinary treatment. Clinical considerations Key factors in the decision-making process in treating implants in malposition are whether the implants are (1) in a reasonable restorative position, (2) free of disease, and (3) placed with adequate depth. This clinical report encompassed periodontal corrective surgery, non-surgical soft tissue sculpting through subgingival crown contour, material selection for definitive restorations, and cementation techniques for cement-retained restorations. Clinical significance Knowledge and understanding of interdisciplinary treatment planning, sequencing, and respective techniques that can be implemented when confronting implants in malposition in the smile zone will allow the interdisciplinary team to achieve the desired esthetic restorative result.

Automated summary

This clinical report addresses the decision-making process for saving or removing implants with esthetic deficiencies in the smile zone, as well as the sequence and timing of interdisciplinary treatment. Key factors in treating implants in malposition include restorative position, absence of disease, and adequate depth. Understanding interdisciplinary treatment planning and techniques is essential for achieving desired esthetic results when dealing with implants in malposition in the smile zone.