title: Malpositioned implants in the anterior maxilla: a novel restorative approach to reestablish peri-implant tissue health and acceptable esthetics. Part II: Case report and discussion.
abstract: This two-part case presentation describes the prosthetic challenge of managing complications in a 50-year-old female patient after inadequate esthetic risk assessment, treatment planning, and implant placement in the anterior maxilla. In Part I, the clinical situation was described, and different restorative solutions were proposed to correct the extreme facial inclination of the implants, excluding major surgical procedures, namely implant removal. In Part II, different prosthetic options are discussed, and the final treatment is revealed. A noninvasive treatment protocol was applied to transform a severely compromised postsurgical situation into an esthetically acceptable result. An unconventional prosthesis design was implemented, including the use of ceramic veneers bonded to the CAD/CAM-generated screw-retained zirconia- based fixed dental prosthesis (FDP), to correct major axis-related problems and spatial discrepancies.
authors.forename: Osvaldo D
authors.initials: OD
authors.lastname: Moráguez
authors.forename: Francesca
authors.initials: F
authors.lastname: Vailati
authors.forename: Urs C
authors.initials: UC
authors.lastname: Belser
mesh_terms: D017076:Computer-Aided Design; D059605:Dental Implant-Abutment Design; D015921:Dental Implants; D003764:Dental Materials / Q000737:chemistry; D019094:Dental Prosthesis, Implant-Supported; D019232:Dental Restoration Failure; D003801:Dental Veneers; D003779:Denture Design; D003830:Denture, Partial, Fixed; D004955:Esthetics, Dental; D005260:Female; D006801:Humans; D008437:Maxilla / Q000601:surgery*; D008875:Middle Aged; D010347:Patient Care Planning; D013280:Stomatitis / Q000628:therapy; D016896:Treatment Outcome; D015040:Zirconium / Q000737:chemistry
chemical_list: D015921:Dental Implants; D003764:Dental Materials; D015040:Zirconium; C028541:zirconium oxide