We rehabilitated the patient using a four-implant configuration with two of them distally inclined, a first immediate provisional prosthesis, a second definitive cone-anchored prosthesis.

Fig. 1 Before

Fig. 2-4 Hi-Fiber Immediate Load and Hi-Fiber Full Armor reinforced prostheses were used.

Fig. 5 After

Fig. 6 Post-surgery x-ray on 10 July 2017

Fig. 7 - Four year follow up on 15 Feb 2021

Fig. 8 - Six year follow up on 15 Feb 2023

No report of prosthesis failure, implant failure or bone loss.