Central Implant: How to minimize collateral damage?
Military patient, had work done in Japan a few years back, implant #9 Too deep and too facial (pretty much out of alveolar housing), but with no clinical symptoms/probing, There was collateral damage (recession and increased crown length on 8, 10).
He didn't like the esthetics after a while so he went to a surgeon for evaluation. Came to me for a second opinion after a bone graft that was attempted on #9, and black triangles opened up.
Unfortunates of the case:
1. High smile line
2. High esthetic demand
3. CBCT of implant
Ortho extrusion is an option, but he is only in the state for <1year, due to travel schedule.
Explantation would for sure make the soft tissue outcome even worse.
Any benefit of removing implant crown, placing cover screw, then, coronal repositioning + CT graft?? Any benefit to re-doing crowns on 8, 10, biologic shaping of tooth/root, with a margin that is more incisal to try to get gingival re-attachment to root?