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The dilemma confronting many dentists today is that innovations have greatly enlarged the treatment realm for tooth preservation as well as tooth replacement. The objectives should not only be preservation of the remaining tooth structure, restoration of optimum function, esthetics and cost effectivness but also there may be a positive psychological impact for the patient. This case report demonstrates a satisfying full-mouth rehabilitation using the Hobo and Takayama twin-stage procedure including tooth and implant-supported prosthesis for a patient with esthetically and functionally compromised dentition.