Clinical Considerations and Management of a Labially Impacted Maxillary Canine With Immediate Implant Placement and Alveolar Bone Reconstruction: A Case Report

唇侧阻生上颌尖牙即刻种植及牙槽骨重建的临床考量与处理:病例报告

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Abstract

A labially impacted maxillary canine is a relatively uncommon occurrence. In adult patients, management of impacted maxillary canines becomes necessary when the deciduous canine is lost, or if the impacted tooth becomes symptomatic. Orthodontic realignment is not always the preferred therapeutic approach due to the long treatment duration. Alternatively, prosthetic rehabilitation of the missing tooth with a dental implant can serve as a viable treatment option. This article describes a case involving a labially impacted permanent maxillary canine in a 36-year-old woman, who had a primary complaint of discoloration of the corresponding primary tooth, which was rehabilitated with an immediate implant and bone graft along with treatment of the discolored tooth. This case supports the use of a single implant for replacing an impacted tooth, eliminating the need for conventional tooth preparation in prosthetic rehabilitation or extended orthodontic intervention to reposition the impacted tooth. The treatment resulted in exceptional aesthetic outcomes. The combination of immediate implant placement with hard tissue augmentation facilitated alveolar bone reconstruction and shortened the overall treatment time.

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