Implants on teeth #7 and #8 were placed facially (in a non-ideal buccal position). The patient now wants crowns placed. What is the most appropriate course of action?

When implants are placed in a non-ideal (facially malpositioned) position, restoration is complex and may require special techniques (angled abutments, custom abutments, or assessment of whether the implants need to be removed and replaced in a better position). This situation exceeds the scope of general dental practice for most clinicians and warrants referral to a prosthodontist or the specialist who placed the implants. Attempting to place crowns on facially malpositioned implants without specialist consultation risks esthetic failure, biomechanical complications, and peri-implant disease.