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Treatment planning in the anterior maxilla (part 1).

Implant treatment planning in the posterior maxilla and the mandible have their own special problems like bone density and volume. The anterior maxilla however is the most difficult area to place implants, as it is the only area that patients have full view of what has been done. They are able to raise their lips and examine exactly what has been done and this is usually carried out with excellent light and a magnifying mirror. Every detail of the crown namely, colour, shape and form etc. as well as the presence or absence of papillae, colour and level of the gingiva are checked. The closeness with which this area can be scrutinized for any imperfections in treatment presents us with our biggest challenge in implantology.