Addressing the edentulous predicament with the help of artificial replacements is a challenging task. The modality of immediate
denture has proved out to be a boon for socially active individuals who cannot remain without teeth even for a single day and esthetic
aspect has to be kept at prime importance. The concept of perpetual preservation lead to advent of overdentures where remaining
teeth are retained under the denture which provide stability to denture , preserve the proprioceptive impulses and residual ridge. Rare
situations may arrive where all the challenges may come at the same time.
The clinical report constitutes a situation where a socially active Lady, had only the upper anterior teeth remaining with moderately
resorbed mandibular ridge and was reluctant for extraction for esthetic reasons. The treatment was planned by combining the
procedures for maxillary immediate denture and overdenture opposed by a mandibular complete denture.