Orthodontic-prosthetic implant anchorage in a partially edentulous patient

Three-dimensional planning of a dental-implant site is critical when implants are to initially be used as orthodontic anchorage for tooth movement and to later serve as prosthetic abutments. The combined orthodontic and prosthetic implant restorative treatment of an adult patient with multiple missing teeth, an upper midline deviation, and malocclusion is described in this article. Plastic model bases combined with customized position plates allowed the precise transfer of the proposed implant position from the diagnostic arrangement to the original cast to avoid compromising subsequent orthodontic tooth movement.