60-year-old patient with edentulism at 45-46-47 with tooth 48 mesialized.

An orthopantomography was performed showing the absence of the pieces described, as well as 36 with a prosthetic space closed by mesioversion of 37.

Surgery was performed, practicing the extraction of the mesialized tooth 48 and the placement of the three implants in 45-46-47, as well as extraction of the tooth in 35 for evident mobility and fracture with self-limited episodes of pain, and implant placement in 35.
35: 4.2 by 13 and Resonance Frequency (ISQ) of 69
45: 3.75 by 11.5 and ISQ of 75
46: 4.2 by 11.5 and ISQ of 80
47: 4.2 by 11.5 and ISQ of 76

Implant loading 3 months after surgery and we performed a discharge splint.
Control periapicals at 6 months show absence of peri-implant bone resorption.