Implants at sites #7 and #8 were placed too far facially. The patient now wants crowns. What is the most appropriate action?

Correct answer: A. Refer to a specialist for evaluation

• A. Per the recall source. Malpositioned anterior implants create an unresolvable prosthetic and esthetic problem — facial angulation predicts recession, thread exposure and a poor emergence profile. Specialist evaluation for possible removal and site reconstruction is appropriate.
• B. Incorrect. Restoring a poorly positioned implant simply builds a failure into a definitive prosthesis.
• C. Incorrect. Monitoring an already-compromised position does not address the underlying problem.
• D. Incorrect. A facial cantilever worsens the emergence profile and loading and accelerates facial bone loss.

Note: 📌 Anterior implants placed too facially are among the least salvageable prosthetic errors. Ideal position: ~2 mm palatal to the facial emergence of the planned crown, ~3 mm apical to the facial gingival margin.