Immediate placement/loading to treat a terminal dentition

Patient is a 43-year old male. Over several years of endodontic treatment, usually treating one or two teeth at a time, his dentition continued to deteriorate. Ultimately, esthetics and function became a great concern. Patient realized that traditional dental restorations would not be the solution. Also, the patient was not comfortable with the idea of a denture and expressed how hard it was for him to think of losing his natural teeth. The loss of anterior teeth finally stimulated the urgency to move forward with a solid reconstructive plan. The patient also acknowledged the broad systemic implications of dental disease and the relationship with cardiovascular disease and other systemic conditions. A restoration provided at day of surgery proved to be the optimal solution for this patient.