This clinical report describes a prosthetically directed execution to maxillary anterior rehabilitation in a patient with congenitally missing lateral incisors, retained primary molars, and anterior segment spacing. The definitive tooth morphology and eccentric guidance were established before surgery through a diagnostic wax-up, intraoral mock-up, and conservative direct bonding to confirm esthetic and functional parameters. Implant placement at sites #5 and #12 was then completed using robotic-assisted intervention, allowing versatile mesial-angulation correction of the osteotomies to avoid the maxillary sinus floor while maintaining the restorative trajectory. Custom polyetheretherketone healing abutments were used to retain the peri-implant soft tissue phenotype, followed by the delivery of high-quality definitive prostheses for maxillary anterior fixed rehabilitation. Establishing prosthetic acquisition first transformed the surgical phase into two straightforward implant sites, allowing all treatment steps to be carried out predictably within the predoctoral clinic while maintaining precision and treatment quality.
Alnatsheh et al. (2026) studied this question.