Flexcone implant in reduced mesio-distal space – case report with 2-year follow-up

Abstract

The rehabilitation of regions with limited mesio-distal and/or inter-occlusal space represents a significant challenge for implantologists, particularly in cases where bone grafts or orthodontic interventions are not feasible. In such situations, narrow-diameter implants, such as the FlexCone® and Mini-FlexCone® models, have emerged as an effective solution based on scientific evidence. This case report describes a 22-year-old patient, with no comorbidities, who sought treatment at the Instituto Rosenvaldo in Goiânia, Goiás, in March 2018, with the primary complaint of "I want an implant." The study was approved by the Ethics Committee of the Federal University of Goiás under opinion number 7.048.761. After clinical and radiographic evaluation, a reduced mesio-distal space was identified, which precluded the use of conventional rehabilitation techniques. As a result, the decision was made to use FlexCone® reduced-diameter implants, following preparatory surgeries to optimize the region for implantation. The placement of the prostheses over the implants was successful, and periodic follow-up over two years revealed that the patient had no functional or aesthetic complaints and expressed full satisfaction with the treatment outcomes. This case demonstrates that narrow-diameter implants, such as the FlexCone®, are a viable and highly predictable alternative for the rehabilitation of limited mesio-distal spaces and areas with restricted bone thickness, providing satisfactory functional and aesthetic results with a low incidence of complications. Thus, the use of these implants proves to be an efficient solution for patients who are not candidates for conventional bone augmentation techniques or orthodontic interventions.

Keywords: Bone graft ; connective tissue graft;; narrow implants; osseointegrated dental implant.