This patient presented with the need to restore the upper left quadrant. With so few teeth remaining, her options were to have a removable appliance or place implants for fixed Implant Supported Crowns. Due to a very large sinus, she had no bone support in this quadrant. Therefore, a bone graft was done in the left sinus area, followed by 5 implants as tooth root replacements. She has been restored to complete function in her left side with a more esthetic result and does not have to wear a removable appliance.