Rehabilitation of the fully edentulous has always been a problem for prosthodontist especially when there a considerable
resorption of the maxillary and mandibular bone. In the past , remedies were created to counter such problems. These may include from
tissue adhesive to denture or more invasive procedure such as sulcus deepening or bone graft augmentation of the ridge. These procedures
were however only partially successful in countering such problems and often enough created new problems as a consequence.
With the advent of dental implants, the bridge over denture could be secured directly to the underlying bony support thus
preventing any displacement of the over denture. It is also beneficial over the longer period of time due to the direct loading of the
bone thus slowing down ridge resorption.
A 63-year-old Chinese man requested permanent fix prosthesis due to denture intolerance. Upon examination it was discovered that he
had a resorbed ridge and a high mentalis muscle attachment. After discussion with the patient it was agreed that a total of five implants
would be placed on the mandibular ridge. The surgical procedure, which took about 45 minutes, was performed without complication and is
left to heal. Three month later a second stage exposure was done to exposed the implants (Figure1).