Prosthetically Driven Implants: How much a Reality?

Implants are fast becoming an integral part of modern dentistry. It is the only treatment modality where additional abutments can be created for improving the esthetics and function. When diagnostic protocol involves both the surgeon and the prosthodontist, the biomechanical, technical and esthetic compromises are circumvented. Careful planning, evaluation of all the diagnostic aids, mock wax up and using a surgical guide helps to accurately locate the implant fixture regarding the depth and angulation which is critical to the esthetic and biomechanical success of the prosthesis.The clinical case depicted here is an illustration of how difficult it becomes to restore the case when the fixtures are placed in incorrect location and/or angulation.