Unfavorable inclination of implants is a common problem that may compr
omise esthetics, phonetics, and function of the implant-supported fixe
d prosthesis. Several methods have been reported to compensate for mal
aligned implants; however, most techniques are complicated and expensi
ve. A technique that combines a custom abutment from a hexed UCLA-type
plastic burn-out pattern and a manually threaded setscrew hole is a r
elatively inexpensive and uncomplicated approach to eliminate problems
caused by unfavorable implant inclination. This article describes the
procedures for fabrication of an implant-supported fixed prosthesis w
ith the use of this technique.