Implant soft tissue transfer cast with tissue removed to reveal five analogs in situ replicating the surgically implanted fixtures.
Delrin sleeves on Certain hexed gold abutment cylinders have been adjusted and waxed to forms suitable for the proper application of ceramic.  Units #5,6 & 7 were cast and ceramic metal substructures were subsequently fashioned as telescopic crowns upon them to overcome divergent surgical fixture placement and to obtain a pleasant and natural esthetic appearance.
Implants #3 and #4 received UCLA abutment cylinders that were waxed and cast as screw-retained individual ceramic units. #5, 6 & 7 were situated in a manner that precluded this approach. (The access apertures on these units were situated bucco-labially)..To overcome the angulation of the fixtures, custom abutments were surveyed and adjusted. Retentive grooves were placed proximally and lingually to facilitate a path of insertion and as an anti-rotational feature. Wax patterns were then fashioned and cast in gold as ceramic substrates. All components were carefully hand-crafted to fit precisely.	Occlusal view of restorations in bisque porcelain. Access apertures on #3 and #4 will receive composite acrylic for esthetics and to protect the underlying gold screws.
	Intra-oral photos of delivered implant prosthesis.