This case the patient needed his remaining teeth removed and upper and lower immediate dentures. Tx options were discussed and he elected for lower implant retained overdenture. After a CT was taken immediate implants were discussed. At the surgical date it would be determined if immediates could be placed. He was told if everything went well the implants would be placed at the time of extraction. Tissue level Biohorizons were placed freehand. He is planning to do the uppers at a future date.