Often a few remaining solidly supported teeth remain in an otherwise extremely resorbed mandible, fig. 1. The good ones are saved and gold copings are cemented over them, fig. 2. The bone is exposed, fig. 3, for an impression of the entire mandible and the tissues are then sutured closed, fig. 4. The implant is designed so as to totally ignore the remaining teeth, fig. 5, and three to six weeks later it is fitted into position, figs. 6, 7, and sutured, fig. 8. Healing usually takes longer when teeth are involved. This was a four week clinical observation, fig. 9. The implant denture is seen with six clasps instead of the usual four, fig. 10. The completed case, figs. 11, 12.

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