Implant placed too close to previous implant: complications?

I would leave it alone if implant is in bone and every other detail is in place made this mistake few times in the last 25 years and never had a problem.. This is my personal opinion you may read otherwise from other clinicians

Take a CBCT for correct measurement. Not a lot of options here Agree with rsdds; papilla might be an issue and oral hygiene challenging in that area! Good luck

Take two more Xrays- one more from the distal and one more from the mesial. Sometimes there is actually more bone between than you can tell on a single radiograph. If this is truly a representation of the distance, I would remove it and not take a chance with it. You could have a "two-fer" if it causes a problem. I'd look for a minimum of 2 mm but ideally 3 mm between on the other radiographs if you've got it leave the implant ). If that is not the case, use an implant removal kit (I've got a Salvin and a Neobiotec and the Salvin was easier and less expensive [if you get the Salvin, be sure to get both screw sizes]) or just trough around the mesial and mesial or facial (which ever is the widest bone dimension) with a needle nosed surgical bur (FG560 from Schein), put a mount on it and tip mesial to loosen and remove(no elevator action, or very little, on the neighboring implant though). A sidelight...if the distance is not 3 mm but closer to 2...or less and you're going to leave the implant, the patient will have to be a flossing God. If they can get to the film and remove it BID, even close implants can work. But they have to be totally committed to flossing (interdental brushes won't get under ledgy emergence profiles like floss- the floss has to pass up and down in a scraping motion but also underneath any abutment ledges at the emergence profile). I recommend this for all implant patients. When they come back for their 3 mo f/u for the first year, I floss under it myself. If there is any bleeding, I warn the patient that if they don't floss enough to control the bleeding that they could have bone breakdown. If they don't floss like I show them and bone loss occurs (of course I adjust the occlusion well too) then I consider it their fault. Good luck, Geoff

I think you can proceed to prosthetics .it is not good placement but ok

No problem. A little close but totally restorable. Do not explant cos it Does more harm than good.

I wish the implant abutment pair offers platform switch. Order the technician to prepare the abutment the most he can to create the" best" distance between the restorations to achive good aesthetics I think this work Only for curiosity can you tell us which was the diameter of the implant use Hope this helps Riton

They seem close apical but not very close crestal, so go ahead and restore it.