Annals of Maxillofacial Surgery

CASE REPORT - SURGERY
Year
: 2018  |  Volume : 8  |  Issue : 2  |  Page : 347--351

Implant placement into the nasopalatine foramen: Considerations from anatomical and surgical point of view


Mukesh Kumar Singhal1, Ramakant Dandriyal2, Asish Aggarwal3, Anshika Agarwal4, Sudhir Yadav6, Prashant Baranwal6 
1 Department of Prosthodontics & Crown and Bridge Including Implantology, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India
2 Department of Oral Surgery, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India
3 Department of OMDR, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India
4 Department of MDS Students, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India

Correspondence Address:
Prof. Mukesh Kumar Singhal
17-B Prakash puram, Opposite Private Ward Gate of Civil Hospital, Saharanpur - 247 001, Uttar Pradesh
India

Implant placement is a challenge in the anterior maxilla if the available bone is reduced and esthetics is challenging. The ideal implant position should be considered in all three dimensions: mesiodistal, apicocoronal, and orofacial. This article includes a review and a case report for the anatomical and clinical perspective of implant placement in nasopalatine foramen (near incisal canal). In this case report, the edentulous space is mutilated in between the area #12 and #21 teeth. Therefore, only one, 3.0 W/10.00 L implant (bone size 4.2 mm width and 11 mm length) could be placed. Radiographically, D2 bone quality was diagnosed. Before surgery, an emphasis was given over the proper implant selection to avoid oversized implants due to critical anatomical landmark. Careful and with minimal trauma, the soft tissue was handled and implant placement was performed in a proper position, using information from panoramic radiograph, 3-D Dentascan. A surgical guide was used for placement of the implant. Finally, immediate loading of temporary implant prosthesis was done. The primary outcome was satisfactory, as after 72 h, no swelling and numbness were reported. The patient has been recalled after healing period of 24 weeks for permanent restoration.


How to cite this article:
Singhal MK, Dandriyal R, Aggarwal A, Agarwal A, Yadav S, Baranwal P. Implant placement into the nasopalatine foramen: Considerations from anatomical and surgical point of view.Ann Maxillofac Surg 2018;8:347-351


How to cite this URL:
Singhal MK, Dandriyal R, Aggarwal A, Agarwal A, Yadav S, Baranwal P. Implant placement into the nasopalatine foramen: Considerations from anatomical and surgical point of view. Ann Maxillofac Surg [serial online] 2018 [cited 2019 Oct 14 ];8:347-351
Available from: http://www.amsjournal.com/article.asp?issn=2231-0746;year=2018;volume=8;issue=2;spage=347;epage=351;aulast=Singhal;type=0