Vertical growth of the maxilla exceeds all other growth dimensions in this region; therefore, premature implant placement may result in the repetitive need to lengthen the transmucosal connection of the implant, resulting in poor implant-to-prosthesis ratio and risk of load enlargement. Premature placement of an implant near the midline may create secondary mesiodistal spatial discordance. -median sutural growth, which accelerates at puberty.--The placement of implants in the anterior maxillary region before the age of 15 in female patients and between 17 and 25 years in male patients should not be attempted only to achieve unique treatment planning goals and with particular attention. emphasis is placed on determining skeletal age, informed consent, and the possibility of future implant replacement. Posterior maxilla6,9A large number of variations exist in the magnitude and direction of growth sagittal and vertical, and the unpredictability of the growth pattern adds to the difficulty of deciding when it is safe to insert implants in this area. Since vertical growth occurs by apposition on the alveolar surface and resorption on the nasal or maxillary sinus area, an implant placed early could become occlusally submerged and enter the sinus or nasal cavity. . In partially edentulous cases, infraocclusion of the implant can lead to long-term esthetic problems for the implant and periodontal damage around adjacent teeth. Thus, the placement of implants can only be recommended after growth has stopped. It is best to delay the placement of osseointegrated dental implants in the posterior maxillary quadrant until the age of 15 in women and 17 years (17 to 25 years) in men. Special care should be taken when placing implants before skeletal maturity due to apposition and resorption... middle of paper ......imal way to restore function. Definitive orthodontics, oral surgery to reshape dental arches, alveolar bone grafting, selective tooth extraction, and periodontal surgery should be considered to meet the needs of each patient. Prostheses and restorations, which were part of previous treatment, must be re-evaluated. If complete dentures are considered, maxillary and mandibular dentures are recommended, as opposing dentures improve both function and esthetics. Rigid fixed prostheses are appropriate since craniofacial growth is complete. Complete orthodontic tooth movement and selective tooth extraction will allow for optimal prosthetic therapy. Implants can be used anywhere in the dental arches and, if necessary, bone grafting before implant placement is appropriate. General anesthesia is not routinely recommended for people in this group.