Integrating implants with natural teeth in a periodontitis patient with malocclusion: a clinical case report

Dental implants are a reliable solution for tooth loss, particularly in the anterior region, where functionality and aesthetics are crucial. However, challenges such as post-extraction bone loss complicate implant placement. Techniques like socket preservation and partial extraction therapy aim to mitigate bone resorption, but their long-term effectiveness remains uncertain. An alternative approach—connecting implants to natural teeth—has shown potential in preserving bone structure and simplifying treatment. While conventional protocols discourage this method due to biomechanical differences between implants and teeth, recent studies suggest it may offer advantages in some instances. This article presents a case study of a 57-year-old patient with periodontitis and fractured maxillary central incisors. Implants were placed and connected to the lateral incisors, improving both function and aesthetics. A five-year follow-up showed stable periodontal conditions, no significant bone loss, and high patient satisfaction. Despite risks such as natural tooth intrusion and peri-implantitis, careful planning, regular maintenance, and the absence of systemic risk factors contributed to success. This case highlights the potential benefits of implant-to-tooth connections in anterior regions, emphasizing the need for further research to establish long-term outcomes and refine treatment protocols.