A 74-year-old patient with missing teeth and a removable partial denture for 10 years wanted a fixed prosthesis. Clinical examination found root caries on teeth 11, 12, 13, 23, and 25 and existing bridges on teeth 32-43 and 44-47. The treatment plan was to place 4 implants in the upper arch and 2 in the lower arch, followed by fixed prostheses. Temporary bridges were placed. On the day of surgery, extractions and implant placements were done. After 3 months, the implants were loaded with final prostheses.