From Misplaced to Mastered: Prosthodontic Management of Unfavourably Positioned Implants from Anterior Esthetics to Posterior Function: Mini Review

¹Department of Prosthodontics, Crown & Bridge and Oral Implantology, Bhojia Dental College & Hospital, Budh (Baddi), India

²Department of Conservative Dentistry & Endodontics, Bhojia Dental College & Hospital, Budh (Baddi), India

*Corresponding author: Dr. Arpit Sikri, Professor & Post Graduate Teacher, Department of Prosthodontics, Crown & Bridge and Oral Implantology, Bhojia Dental College & Hospital, Budh (Baddi), Teh. Baddi, Distt. Solan, Himachal Pradesh, India, Phone: +91-7011836989, E-mail: [email protected]

Received Date: January 21, 2026

Published Date: March 17, 2026

Citation: Sikri A, et al. (2026). From Misplaced to Mastered: Prosthodontic Management of Unfavourably Positioned Implants from Anterior Esthetics to Posterior Function: Mini Review. Mathews J Dentistry. 10(1):62.

Copyrights: Sikri A, et al. © (2026).

ABSTRACT

Malpositioned dental implants present significant restorative challenges that compromise esthetics, function, and long-term prognosis. With the increasing use of implant therapy, such complications are more frequently encountered in clinical practice. Proper three-dimensional implant placement remains the gold standard; however, when surgical correction is not viable or acceptable to the patient, prosthodontic management becomes critical. This narrative review discusses multiple prosthetic strategies to manage unfavourably positioned implants, including customized and pre-angled abutments, angulated screw channels, cross-pin prostheses, implant-supported removable options, and digital workflows. Advantages, limitations, and clinical considerations with respect to anterior and posterior regions are examined. The review highlights that comprehensive prosthetic planning can salvage compromised implant situations but may sometimes require surgical intervention when prosthetic methods are insufficient.

Keywords: Angulated Screw Channels, Customized Abutments, Esthetic Complications, Implant-Supported Prostheses, Malpositioned Implants, Prosthodontic Management.