Divergent implant fixtures and an upper complete denture with teeth offset buccally & encroaching on the inter-occlusal space require planning and collaboration between dentist and technician. With sound communications and case-planning,  these anomalies were overcome as seen in the following photos.	Maxillary right quadrant: Denture teeth removed from CD base and repositioned to facilitate room for mandibular right implant prosthesis..This solved the clearance issue, however, the divergent fixture problem had yet to be solved.
Path of insertion established for 3i Gingihue posts with surveyor..an angled (15 degree) posterior abutment post was utilized to facilitate this procedure.	Following adjustment of the Gingihue posts, a duplicate cast was made and the framework waxed upon it & subsequently cast in gold..It was verified to fit perfectly.  A new occlusal registration was taken at this juncture and the case was re-mounted for precise application of ceramic materials to the gold substructures.
Original mounting reveals encroachment of posterior right denture teeth. The Wilson curve was obviously ignored when this denture was made.  #3-6 were no doubt set in haste since they opposed no contra-arch antagonists. When I removed them from the base to re-set them, I found these acrylic teeth untouched with diatorics intact  - as if transferred from the tooth card and waxed directly onto the record base prior to processing with no consideration given to subsequent restorative procedures for the opposing mandibular quadrant.	Finished Implant-bourne casework provides this patient with an esthetically appealing, right posterior appliance. The movement of the maxillary teeth on the denture base has augmented the overall stability of the occlusion, & effectively enhanced masticatory function.  When the operatory and laboratory work together, a confident smile and the ability to ingest nourishment without pain, worry or embarrassment, is the end result for the patient. Success with difficult casework is an extra- special reward for us.
Implant framework waxup	3i Gingihue posts are refined and enhanced with anti-rotational and retentive features. This is better accomplished in the lab with an abutment holder to protect the precision machined surfaces and tactile elements.