case_images: PMC6011113_01
case_images: Temporary crown on teeth 11 adapted to the removable prosthesis.
case_images: CRID2018-9379608.001.jpg
case_images: PMC6011113_01_CRID2018-9379608.001.jpg
case_images: fig1
case_images: The new temporary crown was fitted to the removable partial denture that was used by the patient (Figure 1).
case_images: Poorly positioned implant.
case_images: CRID2018-9379608.002.jpg
case_images: PMC6011113_01_CRID2018-9379608.002.jpg
case_images: fig2
case_images: Removal of the implant with a retrieval tool.
case_images: CRID2018-9379608.003.jpg
case_images: PMC6011113_01_CRID2018-9379608.003.jpg
case_images: fig3
case_images: The implant was gradually removed using the implant removal instrument (Implant Retrieval Tool; Nobel Biocare), with antirotational movement (Figure 3).
case_images: Installation of the new implant.
case_images: CRID2018-9379608.004.jpg
case_images: PMC6011113_01_CRID2018-9379608.004.jpg
case_images: fig4
case_images: Specifically, the implant was placed closer to tooth 14 in the buccal-palatine direction on the bone ridge (located around 1 mm for the palatal from an imaginary curvature passing through the buccal surfaces of the present teeth and 1 mm infraosseo in the coronoapical direction) (Figure 4).
case_images: Installation of the temporary fixed partial denture.
case_images: CRID2018-9379608.005.jpg
case_images: PMC6011113_01_CRID2018-9379608.005.jpg
case_images: fig5
case_images: This was followed by the fabrication of a temporary fixed partial prosthesis with retention used during the osseointegration phase on teeth 11 and 14 (Figure 5): this was only for esthetic purpose.
case_images: Occlusal view of the gingival conditioning.
case_images: CRID2018-9379608.006.jpg
case_images: PMC6011113_01_CRID2018-9379608.006.jpg
case_images: fig6
case_images: During this phase, periodic acrylic resin implements were added to the temporary prosthesis to promote gingival conditioning (Figures 6 and 7) and black triangle closure (Figures 8 and 9) and also to improve gingival esthetics.
case_images: Buccal view of the gingival conditioning.
case_images: CRID2018-9379608.007.jpg
case_images: PMC6011113_01_CRID2018-9379608.007.jpg
case_images: fig7
case_images: During this phase, periodic acrylic resin implements were added to the temporary prosthesis to promote gingival conditioning (Figures 6 and 7) and black triangle closure (Figures 8 and 9) and also to improve gingival esthetics.
case_images: Presence of the black triangle before gingival conditioning.
case_images: CRID2018-9379608.008.jpg
case_images: PMC6011113_01_CRID2018-9379608.008.jpg
case_images: fig8
case_images: During this phase, periodic acrylic resin implements were added to the temporary prosthesis to promote gingival conditioning (Figures 6 and 7) and black triangle closure (Figures 8 and 9) and also to improve gingival esthetics.
case_images: Gradual closing of the black triangle.
case_images: CRID2018-9379608.009.jpg
case_images: PMC6011113_01_CRID2018-9379608.009.jpg
case_images: fig9
case_images: During this phase, periodic acrylic resin implements were added to the temporary prosthesis to promote gingival conditioning (Figures 6 and 7) and black triangle closure (Figures 8 and 9) and also to improve gingival esthetics.
case_images: Final appearance of the implant prosthesis.
case_images: CRID2018-9379608.010.jpg
case_images: PMC6011113_01_CRID2018-9379608.010.jpg
case_images: fig10
case_images: At the end of two months, the implant prosthesis with a mesial cantilever was installed (Figure 10).