Ann had not attended the dentist for a while due to her phobia. She presented with very loose lower teeth due to gum disease which needed removal and replacement. After careful planning including a ct scan the lower teeth were removed and replaced with implants at the same visit. At this visit a prefabricated lower denture was modified and attached to the dental implants. Ann had same day fixed teeth and is very pleased with her new teeth and smile. She is even more happy with her new confidence with her smile and attending the dentist.