No abstract

In the past two decades, replacement of missing teeth with implantsupported prostheses has become a widely accepted treatment for oral rehabilitation of partially or fully edentulous patients. With the growing use of implant-supported oral rehabilitation in the partially edentulous patient and single tooth restoration, the emphasis has now changed toward achieving predictable esthetic success, particularly in the maxillary anterior region and patients who may show the peri-implant soft tissue when smiling and speaking. Establishing a soft tissue contour with intact interproximal papillae around implant-retained restoration is challenging, and failure to achieve these harmonious relationships of soft tissue around the implant may lead to unesthetic appearance. In the following case report, the patient presented with an unfavorable tissue contour around an implant restoration. Reshaping of soft tissue was planned. A combination of two surgical techniques was used, which includes a papilla reconstruction and interpositional graft for achieving desired esthetic for a single-stage implant. Following this, sequential molding of marginal gingival tissue was carried out using provisional restoration to obtain an emergence profile.

Treatment of asymptomatic impacted maxillary canines in adults is inevitable when primary canine becomes lost through extraction or exfoliation or when the impacted tooth becomes symptomatic. Treatment alternatives include an orthodontic procedure to bring the unerupted tooth to the dental arch or prosthetic replacement of the missing tooth. This is an alternative treatment that involves simultaneous placement of implants into extraction sockets of the teeth for replacement of maxillary canine. This treatment modality avoids the need for conventional preparation of teeth as part of prosthetic reconstruction or prolonged orthodontic treatment aimed at bringing the impacted canine to the dental arch. How to cite this article Shambharkar VI, Shaikh S, Sonare S, Bajaj G. Prosthetic Management of Palatally Placed Maxillary Impacted Canine. Int J Prosthodont Restor Dent 2015;5(2): 56-59.