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Implant Placement in the Maxillary Anterior Region after Orthodontic Treatment in a Compromised Ridge: Rehabilitation with a Customised Abutment for Enhanced Aesthetic Outcome – Case Report
 
  • P-ISSN 2277-3525 E-ISSN 2582-7901

Journal of Multidisciplinary
Dental Research

Article

Journal of Multidisciplinary Dental Research

DOI: 10.38138/JMDR/v11i2.25.30

Volume: 11, Issue: 2, Pages: 62–65

Case Report

Implant Placement in the Maxillary Anterior Region after Orthodontic Treatment in a Compromised Ridge: Rehabilitation with a Customised Abutment for Enhanced Aesthetic Outcome – Case Report

Kulkarni Vedant Dhananjay1, Kumari Deepika2,∗, S Raagul3

1Department of Prosthodontics and Crown Bridge, I.T.S Dental College, Muradnagar, Ghaziabad, 201206, Uttar Pradesh, India
2Assistant Professor, Department of Prosthodontics and Crown Bridge, AIIMS-CAPFIMS, Maidan Garhi, 110068, New Delhi, India
3Department of Periodontics, I.T.S Dental College, Muradnagar, Ghaziabad, 201206, Uttar Pradesh, India

*Corresponding Author
Email: deepika12031990@gmail.com

Received Date:01 June 2025, Accepted Date:01 December 2025, Published Date:04 December 2025

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Anterior tooth replacement remains a key concern for patients desiring both aesthetic and functional restoration. Among various prosthodontic options such as fixed partial dentures, removable prostheses, and dental implants- implant-supported restorations are preferred for their superior aesthetics, longevity, and ability to restore natural function. A 23-year-old female patient presented with a missing maxillary left lateral incisor following orthodontic treatment. After clinical and radiographic evaluation, cone-beam computed tomography (CBCT) revealed inadequate bone volume at the intended implant site. To avoid bone grafting which would increase cost and treatment duration- osseodensification was performed using a Densah bur system to achieve sufficient primary stability. The implant was successfully placed, but minor buccal positioning resulted in potential aesthetic and prosthetic alignment challenges. To address this, a customized abutment was fabricated, effectively correcting the implant angulation and enhancing soft-tissue contours and aesthetic integration. This case highlights the significance of meticulous treatment planning, the use of osseodensification techniques in compromised ridges, and the role of customized abutments in achieving superior aesthetic and functional outcomes in anterior implant restorations.

Keywords:­ Dental implant, Castto abutment, Customized abutment, Aesthetic region

References

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COPYRIGHT

© 2025 Published by International Dental Educationists’ Association (IDEA). This is an open-access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/) 

 
  • 04 December 2025
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