The patient is a 54 year old female with a maxillary complete denture and a failing mandibular reconstruction. The treatment plan called for the insertion of two implants in the anterior mandible subsequent to the extraction of all remaining mandibular teeth followed by the construction of an implant retained mandibular overdenture.

A decision was made, based on the patient's desire to have a stable transitional prosthesis, to place transitional implants along with the placement of the final implants. The transitional implants would be immediately loaded while the more conventional implants would remain in an unloaded state during the osseointegration process.