Abstract
The clinical performance of anterior maxillary implants restored using CAD-CAM technology, emphasizing the influence of abutment angulation, restorative material and occlusal scheme on treatment outcomes is of interest. Among 49 patients assessed, implants with 0° abutments exhibited superior prosthetic success, marked by minimal complications and enhanced retention. Layered zirconia restorations delivered the most favorable esthetic results, while canine-guided occlusion correlated with heightened patient satisfaction. Thus, the pivotal role of precise angulation, material selection and occlusal dynamics in optimizing the functional and aesthetic success of anterior implant restorations is shown.