Prosthetic management of malpositioned implant using custom cast abutment

Aishwarya Chatterjee; Mallikarjuna Ragher; Sanket Patil; Debopriya Chatterjee; Savita Dandekeri; Vishnu Prabhu

doi:10.4103/0975-7406.163528

Journal of Pharmacy And Bioallied Sciences

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DENTAL SCIENCE - CASE REPORT

Year : 2015 | Volume : 7 | Issue : 6 | Page : 740-745

Prosthetic management of malpositioned implant using custom cast abutment

Aishwarya Chatterjee¹, Mallikarjuna Ragher², Sanket Patil³, Debopriya Chatterjee⁴, Savita Dandekeri², Vishnu Prabhu⁵
¹ Department of Dentistry, SMS Medical College and Hospital, Jaipur, Rajasthan, India
² Department of Prosthodontics, Yenepoya Dental College, Mangalore, Karnataka, India
³ Department of Prosthodontics, Yogita Dental College and Hospital, Ratnagiri, Maharashtra, India
⁴ Department of Periodontics, RUHS College of Dental Sciences, Jaipur, Rajasthan, India
⁵ Department of Oral Pathology, Yenepoya Dental College, Mangalore, Karnataka, India

Correspondence Address:
Aishwarya Chatterjee
Department of Dentistry, SMS Medical College and Hospital, Jaipur, Rajasthan
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/0975-7406.163528

Two cases are reported with malpositioned implants. Both the implants were placed 6-7 months back. They had osseointegrated well with the surrounding bone. However, they presented severe facial inclination. Case I was restored with custom cast abutment with an auto polymerizing acrylic gingival veneer. Case II was restored with custom cast UCLA type plastic implant abutment. Ceramic was directly fired on the custom cast abutments. The dual treatment strategy resulted in functional and esthetic restorations despite facial malposition of the implants.

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