Case 4 – A gentleman of 58 years of age came to our clinic with complaint of pain in the upper right central incisor. On examination, we found pus coming out on the palatal side (pic 2). The tooth had about 1.5mm bone support (pic 5). He was suffering from periodontitis and had suffered a generalized bone loss and gingival (gum) recession. Due to severe bone loss, the teeth had migrated and were misaligned. On the lower arch, 2nd molars and incisors were missing (pics 7, 8). The patient had a deep bite along with abnormal over jet and required an increase in bite for a good healthy masticatory function and look. There were a few teeth which required root canal treatment and a few which needed to undergo repeat root canal treatment. Microendodontics was performed on the respective teeth. The main treatment consisted of scaling, root planning, flap surgery along with grafting of sterile alloplastic bone in the presence of Platelet Rich in Growth Factors (PRGF) (seen in pic 6) in the complete upper arch and the anterior region of lower arch. Two Frialit-2 implants were placed in the lower central incisor region (pic 9, 10, 11 & 12). A few months after healing, cosmetic treatment and prosthodontic rehabilitation (using precious metal fused to ceramic) was performed (pic13). The teeth have been aligned (pic 14). The gum and bone healed rapidly because of use of PRGF and good oral hygiene (pic 16). Restorations over the implants in the lower anterior region and lower posterior region enable good bite.