A dental implant may be positioned unfavorably for a variety reasons. Solutions involve various prosthetic alternative treatments or surgical approaches, such as removing the implant and replacing it with bone grafting. This case report describes the use of a segmental osteotomy for repositioning a malposed dental implant. A 24-year-old man was referred with an unrestorable osseointegrated dental implant that had been placed in the region of the maxillary right central incisor. The implant was repositioned using a segmental osteotomy. The segment was stabilized with orthodontic brackets, a miniplate, and screws. Six months later, the brackets were removed and a permanent restoration was fabricated. This technique has been used for many years to reposition natural dentition; however this is the only report which has been used orthodontic brackets for stabilization the segment. It provides the dental practitioner with a treatment alternative that is time-effective, cost-effective, and predictable.
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Author(s): Alper Kaya
Osteotomy, Orthodontics, Dental Implant, Dental Implantology