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Its a Classical case of a Patient 59/M who has lost all his posterior teeth more than 24Yrs. Radiograph diagnosis shown that the Maxillary Sinus is at very low level 2mm near to bone in Molars region. Front antertior Removable denture fractured present. Treatment was decided for Implants in Tuberosity Pterygoidal Region and also with the immediate Loading implant in the Front tooth region followed up with Immediate Extraction. This entire Procedure is Done completely without surgery. Its performed under Local Anaesthesia, Painless, Bleedingless, flapless and Sutureless. Restored Immediately with a temporary crowns. This is the First part of Implant placement in extraction in Anterior region with immediate placement. Continuation in Next Clip........... Treatment was Diagnosed and Performed By: Dr.R.R.Sakthe Murukan Bds,Dip.Orthodontics & Implantologist.