Restoring Bone Level Straumann Implant: Fixture Not in the Ideal Parallel Position?

Your suggestions are what I would do.

One can do several things depending upon how out of position. Simply take a fixture level impresson and let the lab square it away or move the implant and bone via a vital segmented osteotomy.

You seem to be describing altering the impression coping and yes you can alter it. Do not remove any of it that inserts into the implant, but you can reduce it on the sides in order not to touch the adjacent tooth. Use an open tray technique, not a closed tray impression post. Do your drilling out of the mouth. Mark the impression post with a Sharpie where you see it binding against the adjacent molar. Remove it from the implant, drill away whatever you need to (carbides always work better than diamonds)then reinsert the post into the implant. Look for space between the post and molar. When you've fully tightened the impression post you should see light between it and the molar. If not, remove it again and adjust until you are sure the post is passive in the implant. Then take your impression. It is an open tray so the post will now be buried in the impression material. Screw your analog into the post in the impression and you're done. The posts can even be shortened. The entire side can be removed. The only critical part is that which engages the internal of the implant. And the post can be sterilized and reused, so don't throw it away. It may come in handy some other time. As an aside, you mean the implant wasn't placed exactly where the restorative table needed to be? That's probably the first time that's ever happened (tongue in cheek).

Call your Straumann rep. If they cant answer, then email me robert56@rogers,com