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David was a heavy smoker and had neglected his teeth due to his busy work schedule. His teeth suffered from severe periodontal disease, and he lost all teeth. After healing 6 implants in the upper jaw were placed with four in the lower jaw supporting a ceramic bridge in the upper for the best aesthetics and a lower acrylic/titanium bridge. Smoking is a risk factor for implant dentistry and he was cautioned on cessation or reduction of his smoking habit to enhance the chances of success.