Maintenance of Teeth Totally or Partially Included in The Path of Osseointegrated Implants – Presentation of A Case Series.

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Authors: Daniel Bastos Baptista, Gislaine Fernandes Felipe Garcia, João Henrique Pergher, Felipe Pohlman, Rafael Manfro
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Abstract

Intraosseous retained teeth are identified through routine imaging exams, and can interfere with installing Osseo integrated implants, which aim to replace the impacted tooth itself, prosthetically. The extraction of these teeth may result in bone defects and, depending on the location of the tooth, complications such as temporary or permanent neurosensory damage and oro-antral communication. As an alternative to these treatments, maintaining the roots of impacted teeth associated with dental implants is an option, supported by the literature, although scarce. This approach was carried out in the five clinical cases presented in this article, although each had its particularities and follow-up periods. A common feature of the five cases would be the large bone defect and damage to the inferior alveolar nerve caused by the extraction of the impacted teeth. In none of the five cases did the patients report complications, and no complications were identified in the roots of the impacted teeth caused by the installation of the implants. This series of five cases provides clinical evidence capable of supporting the maintenance of both the roots of the impacted teeth and the impacted teeth, even with intimate contact or transfixation by the osseointegrated implant.

Fields of Study & Subjects

dental development and anomalies Dental Implant Techniques and Outcomes Dental Trauma and Treatments

Publication details

Journal / source
International Journal of Clinical Case Reports and Reviews
Volume
33
Issue
03
Pages
01–08
Publication date
9 January 2026