Computer Guided Implant placement through impacted Canine and immediate provisionalization

The aim of this study was to evaluate an
unconventional protocol regarding implants insertion through
impacted canines, as to avoid invasive surgical extraction.
Materials and Methods: This study was conducted on 1 patient,
selected from the waiting list for dental implants at the
University of Cagliari. To avoid invasive surgical removal of the
impacted tooth, a dental implant (Ø 3.75 x 12 mm, Leone s.p.a.,
Firenze, Italy) was placed through the impacted tooth with a
computer guided protocol and then immediate loaded.
Results: The implant was clinically stable; a 4-year follow up
did not show any unusual feature at the root‐implant interface.
Conclusions: This study suggests that implant insertion through
an impacted canine does not interfere with implant integration
and may represent an alternative solution to avoid surgery
extraction; more studies are needed for this procedure to be
considered suitable for a possible clinical option.