Maxillary Teeth and Mandibular Semi-precision Removable Partial Dentures with Distal Extension Implant

Patient presented with a partial edentulous mandibular arch with the very strong request "I do not want anything removable."  We investigated the possibility of implants with a diagnostic wax up and subsequent cone beam CT scan.  It was very evident that there was insufficient bone for implant restorations for fixed prostheses.  The patient was presented with the option of survey crowns with semi-precision attachments and an small implant supporting the unilateral distal extension, as well as restoring her maxillary teeth to a more ideal esthetic and occlusal relationship.  After reviewing the option in detail and considering the patient's finances, the patient elected to restore the mandibular arch with two survey crowns with semi-precision attachments and on implant supporting the distal extension on the left side.  The patient was somewhat apprehensive about the idea of having something removable right up to the day of insertion.  Once it was in the patient's mouth and taken home and used for a while I received this note in an e-mail...

"I love my partial!!  Thank you for doing such a great job; believe it or not, I don't want to remove it.  It is just that comfortable."