Immediate Full-Arch Implant Rehabilitation Through an Impacted Maxillary Canine: A 5-Year Case Report.
- 1School of Dental Medicine University of Belgrade Belgrade Serbia.
- 2Oral Surgery Department, Faculty of Medical Sciences University of Kragujevac Kragujevac Serbia.
- 3General and Oral Physiology Department, School of Dental Medicine University of Belgrade Belgrade Serbia.
Abstract
A deeply impacted tooth within a planned implant trajectory may complicate implant-supported rehabilitation. Intentional transdental implant placement has been proposed as an alternative to extraction in selected patients. A 55-year-old woman with generalized advanced periodontitis, bruxism, and heavy tobacco use underwent bimaxillary fixed rehabilitation. Preoperative cone-beam computed tomography (CBCT) analysis identified a deeply impacted maxillary left canine within the planned implant trajectory. Extraction was expected to create a substantial ridge defect that could compromise primary implant stability and necessitate augmentation and delayed implantation. Eleven implants were placed, including a 4.0 × 16 mm implant at position 25, inclined at 30° so that its apical portion traversed the impacted canine at position 23. All implants achieved insertion torque > 45 Ncm. Screw-retained provisional full-arch prostheses were delivered in full occlusal contact on postoperative Day 2 and definitive prostheses at 2 months. Analysis of the 2.5-year CBCT identified crestal bone within 1 mm of the transdental implant shoulder. At 5 years, the implant remained asymptomatic, without clinical signs of peri-implant inflammation. Qualitative panoramic assessment identified no pathology at the implant-tooth interface. Canine vitality remained undetermined, and no histological assessment was available. These findings do not establish dentointegration or quantify longitudinal bone-level change.
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BibTeX
@article{todorovic2026immediate,
title = {{Immediate Full-Arch Implant Rehabilitation Through an Impacted Maxillary Canine: A 5-Year Case Report.}},
author = {Vladimir S Todorovic and Miroslav Vasovic and Marija S Milic},
journal = {Clinical case reports},
year = {2026},
month = oct,
doi = {10.1002/ccr3.73780},
url = {https://europepmc.org/article/MED/42910040},
note = {CC BY},
}
RIS
TY - JOUR
TI - Immediate Full-Arch Implant Rehabilitation Through an Impacted Maxillary Canine: A 5-Year Case Report.
AU - Vladimir S Todorovic
AU - Miroslav Vasovic
AU - Marija S Milic
PY - 2026
DA - 2026/10/21
JO - Clinical case reports
DO - 10.1002/ccr3.73780
UR - https://europepmc.org/article/MED/42910040
AB - A deeply impacted tooth within a planned implant trajectory may complicate implant-supported rehabilitation. Intentional transdental implant placement has been proposed as an alternative to extraction in selected patients. A 55-year-old woman with generalized advanced periodontitis, bruxism, and heavy tobacco use underwent bimaxillary fixed rehabilitation. Preoperative cone-beam computed tomography (CBCT) analysis identified a deeply impacted maxillary left canine within the planned implant trajectory. Extraction was expected to create a substantial ridge defect that could compromise primary implant stability and necessitate augmentation and delayed implantation. Eleven implants were placed, including a 4.0 × 16 mm implant at position 25, inclined at 30° so that its apical portion traversed the impacted canine at position 23. All implants achieved insertion torque > 45 Ncm. Screw-retained provisional full-arch prostheses were delivered in full occlusal contact on postoperative Day 2 and definitive prostheses at 2 months. Analysis of the 2.5-year CBCT identified crestal bone within 1 mm of the transdental implant shoulder. At 5 years, the implant remained asymptomatic, without clinical signs of peri-implant inflammation. Qualitative panoramic assessment identified no pathology at the implant-tooth interface. Canine vitality remained undetermined, and no histological assessment was available. These findings do not establish dentointegration or quantify longitudinal bone-level change.
SN - 2050-0904
ER -