This woman, a heavy smoker, was losing most of her teeth. Due to financial constraints and her presentation it was decided that focus would be on her lower jaw and a long term temporary restoration was placed on her upper teeth. Her lower jaw would receive 6 dental implants and a provisional (temporary) bridge on the implants the same day. This process is called Immediate Loading. The provisional was worn for 3 months after which time a custom titanium bar with individual ceramic crowns was fabricated and screwed down to the implants. This restoration is one of the great advances utilizing Computer aided design and manufacturing in modern day dentistry.