Figure 15. Intra-oral radiograph showing the implant 12 months after placement
Figure 14. Clinical view showing optimal esthetics around the screw-retained definitive all-ceramic crown
Figure 13. Situation after implant placement and repair of the bony defect with a 1:1 mixture of Bio-Oss® and autologous bone
Figure 12. The impacted canine has become visible after elevation of a full-thickness palatal flap and removing overlying bone
Figure 11. CBCT image showing the palatal location of the impacted secondary canine
Figure 10. Clinical view showing the failing right primary canine
Figure 9. Intra-oral radiograph showing the implant 12 months after placement
Figure 8. Clinical view showing optimal esthetics around the screw-retained definitive all-ceramic crown
Figure 7. Clinical view immediately after placement of the provisional implant crown
Figure 6. Situation after implant placement and restoration of the bony defect with a 1:1 mixture of Bio-Oss® and autologous bone
Figure 5. The implant is placed in the prepared socket
Figure 4. The prepared implant socket and osseous defect resulting from removal of the buccally impacted secondary canine and the primary canine. Note that the upper part of the alveolar crest is intact
Figure 3. The impacted canine has become visible after elevation of a full-thickness buccal mucoperiosteal flap and removing overlying bone
Figure 2. CBCT image showing the buccal location of the impacted secondary canine
Figure 1. Clinical view showing the failing right primary canine
Discussion
This case report describes two approaches for immediate replacement of a failing primary canine and an impacted secondary canine, viz. one for impacted cuspids located at the buccal side of the maxilla and one for impacted cuspids located at the palatal side of the maxilla, by an immediately placed and provisionalized single implant. With both approaches, esthetically satisfying ...
Case 2
A 45-year-old man consulted our department with an impacted right maxillary canine and a persistent primary canine with evident mobility and in need of removal (Fig. 10). The patient chose for a single implant treatment because he wanted to have a long lasting and fixed solution for the failing tooth. All general health prerequisites were met and intra-oral examination revealed a healthy, ...
Next, an open tray impression was made at implant level using a custom acrylic resin impression tray (Lightplast base plates; Dreve Dentamid GmbH, Unna, Germany) and a polyether impression material (Impregum Penta; 3 M ESPE, St. Paul, USA). Finally, a healing abutment (NobelReplace; Nobel Biocare AB) was placed, and any remaining residual space between the implant and the buccal bone wall was fill...
One day before surgery, the patient started taking antibiotics (amoxicillin 500 mg, three times daily for 7 days) and using a 0.2 % chlorhexidine mouthwash (Corsodyl; GlaxoSmithKline, Utrecht, the Netherlands) for oral disinfection. Following the administering of local anesthesia (Ultracaine D-S Forte; Aventis Pharma Deutschland GmbH, Frankfurt am Main, Germany), an incision was made on the palata...
Case presentation
Case 1
A 36-year-old woman consulted the Department of Oral and Maxillofacial Surgery of the University Medical Center Groningen, Groningen, the Netherlands, with a persisting upper right primary canine and impacted secondary canine (Fig. 1). The primary canine had to be removed because of fracture of the crown. The patient did not want to undergo orthodontic treatment, and a...
Background
Maxillary canines are the second most impacted teeth (20 % of all impacted teeth); the prevalence in general population is approximately 2 %. Most impacted cuspids are located palatally, with a palatal/buccal ratio of 8:1.
There are several known treatment options for impacted canines to align them into the dental arch. The most widely used option is orthodontic traction after surgi...
Immediate placement and provisionalization of an implant after removal of an impacted maxillary canine: two case reports
Abstract
Single immediate implant replacement is accompanied by excellent survival rates and a favorable esthetic outcome. The objective of this report was to describe a surgical approach for removal of a buccal or palatally located impacted secondary canine, com...