DOI: 10.11607/ijp.3882, PubMed ID (PMID): 25390875Pages 577-578, Language: EnglishFrisch, Eberhard / Ziebolz, Dirk / Ratka-Krüger, Petra / Rinke, SvenThis report describes the use of custom-positioned vertical screws (CVS) to attach primary telescopic crowns to implant abutments. In a private practice setting, 37 patients with 40 double crown-retained implant overdentures (IODs) with a clearance fit (Marburg double crowns) were followed. All primary crowns on the 120 implant abutments were retained using CVS. After a mean followup period of 3.55 ± 1.37 years (range: 1.5 to 6.3 years), one abutment screwloosening incident was reported (incidence: 0.08%). No loosening of any of the screw-retained primary crowns occurred. CVS may represent a viable fixation concept for IODs.