The vertical growth of the jaw exceeds all other growth dimensions in this region; therefore, premature implant placement may result in the repeated need to lengthen the implant's transmucosal connection, resulting in poor implant-to-prosthesis ratio and potential load enlargement. Premature placement of an implant near the midline can create secondary mesiodistal spatial disharmony - midline sutural growth, which accelerates during puberty. - Placement of implants in the anterior maxillary region before age 15 in female patients and among 17 and 25 years in male patients should be attempted only to achieve unique treatment planning goals and with particular emphasis on determining skeletal age, informed consent, and the possibility of future implant replacement. Posterior Maxilla6, 9There are a large number of variations in the amount and direction of both sagittal and vertical growth and the unpredictability of the growth pattern increases the difficulty of deciding when it is safe to place implants in that area. Because vertical growth occurs by apposition on the alveolar aspect and resorption on the nasal or maxillary sinus area, an early placed implant may become oclusally submerged and penetrate the sinus or nasal cavity. In partial edentulism, infraocclusion of the implant can lead to long-term aesthetic problems for the implant and periodontal damage around adjacent teeth. Therefore, implant placement can only be recommended after growth has stopped. It is best to delay the placement of osseointegrated dental implants in the maxillary posterior quadrant until age 15 in females and 17 years (17-25) in males. Special care must be taken when placing implants prior to skeletal maturity due to apposition and resorption… paper center… optimal way to restore function. Definitive orthodontics, oral surgery to reshape the dental arches, alveolar bone grafting, selective tooth extraction, and periodontal surgery should be considered to meet the needs of the particular patient. Dentures and restorations that were part of previous treatments should be reevaluated. If full dentures are planned, both maxillary and mandibular dentures are recommended as antagonistic dentures improve both function and aesthetics. Rigid fixed prostheses are appropriate because craniofacial growth is complete. The complete movement of the orthodontic teeth and the selective extraction of the teeth will allow for optimal prosthetic therapy. Implants can be used anywhere in the dental arches and, if necessary, bone grafting is advisable before implants. General anesthesia is not routinely recommended for individuals in this group.