Home / Treatment With ORLUS / Problems and Solution   Orthodontic implant covered with soft tissue If the orthodontic implant is inserted too deeply for any reason, the head of the orthodontic implant may be buried (figure 15). When the head is buried, inflammatory hypertrophy can arise because of poor oral hygiene. If the hypertrophy does not show any signs of infection, the patient will show no pain. Therefore, after minimal anesthesia, the head of the orthodontic implant should be left exposed and treatment should then be continued with an NiTi coil spring, not elastic chains (figure 16). Fig. 15 If the head is exposed enough and oral hygiene is maintained well, even though the orthodontic implant is placed in the mucosal area, treatment may proceed without problems.   Fig. 16 Orthodontic implants were placed on the distal area of the maxillary canines for application of vertical forces on anterior teeth for their intrusion. Most patients complain of implants in this area, so exposure of the head portion in the area must be minimized and the orthodontic implant should be placed deeply. The soft tissue showed poor conditions, and because an orthodontic implant was placed in the mucosal area (a,b) after topical anesthesia, treatment was continued with an NiTi coil spring (c,d) With the NiTi coil spring, even if soft tissue covers the head of the orthodontic implant, treatment can be continued without problems.