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Figure 1a: Pre-op clinical view.

Figure 1b: Post-op clinical view.

Figure 2: Preoperative intraoral full mouth series of radiographs illustrating the failing dentition.

Figure 3: Post-surgical stage 1 radiograph which illustrates 3 abutments placed on the mandibular implants for immediate loading.

.Figure 4A: Occlusal view of the three immediately loaded implants following mucosal healing.

Figure 5a,b: The conversion prosthesis created from the provisional immediate removable denture showing the three prosthetic retention cylinders.

Figure 5c: Occlusal view of the conversion prosthesis supported by 3 immediately loaded implants.

Figure 6b: Postop panoramic radiograph showing the 10 implant supported porcelain fused to gold prosthesis in the maxillary arch, and the 8 implant supported prosthesis restoring the mandibular arch including 3 implants which were immediately loaded.

Figure 6a: Final tissue integrated prosthesis, smiling view.