An unconventional implant treatment – Implant placement in contact with ankylosed root fragments and management of its post operative complications: A case report

Implant treatment presumes that implants are placed in bone, without any contact with root. At ankylosed teeth, complete root removal is often invasive; subsequently, the sites require additional augmentation procedures to complete the treatment. Execution of a proper treatment is an important step for implant procedures. Implant failure occurs when these parameters are not selected properly. Implant failure can be avoided but may occur in few cases. The aim of this report is an unconventional implant placement with ankylosed root fragments, avoiding extractive invasive surgery and bone damage furthermore handling its post operative complications. In this case report an implant was placed in contact with ankylosed root following which patient reported back with exposed implant shoulder which was surgically manged by Coronally advanced flap using nanohydroxyapatite and fish collagen membrane leading to healthy periimplant mucosa. This case report opens up new avenues to implant placement at sites with compromised osteotomy sites to avoid an invasive extraction surgery and management of its post operative complications