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The utilization of implants requires a close interrelationship between the prosthodontist and the surgeon who performs the implant procedure. The choice of abutments and other aspects of the work should be in the domain of both individuals. After the surgical procedures, the prosthodontist can wait until soft tissue healing occurs before deciding the type and length of the abutments that will be utilized for the reconstruction. If necessary, the surgeon can perform mucogingival surgery to enhance the implant-gingival environment.

The experience with dental implants has been so satisfactory so as to suggest their usage beyond the limits of their normal indications. Preoperative examinations have been improved by the use of the scanner. The employment of "Scanlam" models simplifies and enhances the interpretation of scanner negatives. By repositioning the surgical guide on the "Scanlam" model, both surgical and prosthetic teams are aided. It should be noted, however, that "Scanlam" models have limitations and are simply volumetric expressions of the scanner. The use of the drilling guide should be used to assist the surgeon, but not to replace his clinical judgement.

The length of certain implant surgery operation as well as their precision requires the complete cooperation of patients. The vigilambulant anesthesia, regularly used in other medical specialties, ensures in total security, anxiolism, sedation, analgesia and amnesia for patients. The presence of an anesthesist having at his disposal all the material and all drugs for anesthesia and reanimation gives the surgeon an unequalled operatory comfort.