Management of Malpositioned Maxillary Anterior Implant by using Patient Specific Abutment: A Clinical Case Series

Aim: To rehabilitate the patients with labially placed implants in maxillary anterior region to achieve optimal esthetics, emergence profile and function, along with the preservation of surroun ding hard and soft tissue. Background: Rehabilitation of a patient with maxillary anteriors with labially placed implant is always a challenge for a prosthodontist. If prefabricated abutments are used, labial contour would be too bulky that the implant-supported prosthesis would be out of arch. Case description: This case series describes the use of patient specific abutments which are restored with zirconia prosthesis for optimal esthetics and function. This article also discusses the problems faced while rehabilitating such cases. Conclusion: Unique surgical concepts are implemented for proper results to obtain ideal prosthetic restoration for missing teeth in esthetic regions. If surgical management is not chosen, prosthetically these cases can be managed by the use of customized abutments as described in this clinical report. Clinical significance: Use of patient specific abutments as describe in this article resulted in satisfactory restoration in terms of function and esthetics in the critical maxillary anterior region.