The 50 year old male presented himself with a full maxillary denture. His chief complaint —“I cannot wear this denture because of my gag reflex. I need to get my life back—What can be done? I explained all the options of implants with fixed and removable along with the cost of each option. The best option for his budget was 4 implants, locator attachments with a metal horseshoe to eliminate the palate coverage.
With economics a primary consideration and plenty of available bone I saw no need for a ct and guided surgery.

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