Rapports de cas de santé bucco-dentaire

Tooth Implant an Alternative to Failed Implant Supported Prosthesis in a Smoker

Abstract

Kunwarjeet Singh, Nidhi Gupta and Nandini Singhal

Chronic smoking can lead to failure of Osseo integration due to decrease in local blood flow and failure of cell proliferation by by-products of smoking. This along with immediate failure of a malpositioned implant, devitalization of adjacent tooth necessitating a call for endodontic treatment or the fracture of the adjacent tooth due to malpositioned implant, fracture of the prosthesis due to incomplete seating and occlusal discrepancies have a tremendous impact on the psyche of the patient. Some of them show reluctance to functional rehabilitation with implant supported prosthesis posing a tough challenge to the restorative dentist. A good alternative in such cases would be to save some of the natural teeth and place a precision stud attachment in the canal of selected teeth, which will act like a tooth implant, providing retention and stability similar to implant supported prosthesis.