Angulated implant: best way to proceed?

Last Updated May 16, 2017

I am wondering how we can restore this implant in the #12 site. There was an error and case ended up with an implant that is angulated towards #13. The implant is an Alpha Bio SPI 3.3. I am concerned if the misangulation will adversely affect the placement of a healing abutment. I am also concerned if the misangulation will make getting the impression difficult. It should also be mentioned, that there was a PFM crown on #13, but it was removed a year ago. Should preparation of the tooth provide a better access for transfer positioning? Or should I use an angulated abutment for making the impression? Will that give me more space to manage the misangulation? Thoughts on how should I proceed with this case?

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