Replacement of an upper central incisor with an implant supported crown: A case report to achieve acceptable esthetics for a malpositioned implant

Esthetics in implantology is a topic currently attracting a lot of attention from dental implantologists all over the world. It includes both white and red esthetics with much greater importance given to red esthetics. An ideal implant position in all 3 dimensions is required. These mesiodistal, apicocoronal, and orofacial dimensions are well described, defining "comfort" and "danger" zones for proper implant position in the anterior maxilla. Adequate bone base is usually a prerequisite for functionally and esthetically optimal reconstruction of the soft tissue architecture around a dental implant. When implants are malpositioned axially, prefabricated angled abutments or custom abutments may be used for restoration to acceptable function and comfort.