Unilateral condylar hypoplasia results in facial, skeletal, and dental deformity and is a condition that is often treated with surgery and orthodontics. This report describes implant-supported prosthodontic rehabilitation in a 70-year-old patient who chose not to undergo orthognathic surgery. The patient underwent full-mouth dental extraction and placement of 9 maxillary and 5 mandibular implants. She received implant-supported cantilevered fixed prostheses in both arches to improve and minimize her skeletal and dental crossbite.

Bone loss and soft tissue loss are common problems after tooth extraction and that can lead to excessive length of clinical crowns. This problem can be exacerbated by delaying implant placement after tooth extraction. In this case the opposite occurred. After flapless placement of a NobelDirect implant with immediate loading there was not enough vertical space for an esthetic restoration. Surgical crown lengthening was performed to create vertical space to place an esthetically pleasing restoration in harmony with the patient's existing dentition.