Three Implants with Locators: What’s your treatment plan?

I would have spread the implants out in the space keeping the most distal where it currently is, placing another mesial to the natural tooth and then one between those two. This would give better stability and limit any potential rocking plus should more teeth on the right be lost can then be converted to fixed

Very nice and safe treatment. The locators put you in the clearance sweet spot. When your patient looses the left molar, think about doing an implant with locator there as well. Good case. Thanks for posting.

Your work seems fine. However it is always worth starting with the end in mind. So it depends on what you and your patient have in mind for the medium to longer term. If it is to retain the remaining teeth for a lifetime, then maybe a fixed bridge might have been an option with consequent increased spacing between the implants (but I do not know from the CT you provided whether this is viable). However if you and your patient both concede that inevitably the patient will lose all teeth, then you need to consider what you would advise at that time. If it is a fixed bridge then you need to consider where implants will be placed and how many (with thought to distal positions, distance between implants, anterior position for stress distribution and aesthetics). In this case you current positioning might not be ideal. If it is to be an implant retained bar over-denture, then you need to decide how many implants are required and where. Again in this situation your current positioning might not be ideal. If it is to be an implant retained denture, then you need to consider whether you feel you need 3 or 4 (or more?) implants. (I would generally select 4 but in cases of strong bone and lack of finances I have accepted 3.) In this situation you can understand that your middle implant would probably be redundant but the mesial and distal ones could be fine. So what I am aiming to explain is that it is hard to give you a precise answer because we do not have enough information about your patient (age, general and dental health, expected longevity, or what they desire in the short and long term) or what you feel is acceptable (at the end of the day you can advise the patient and present practical and viable options – but the patient has to make the final decision).

Denture is stable and functional. Patient is happy. Your plan is the best plan.

This is a very safe and uncomplicated treatment.

You hit a home run. The patient is happy and no harm done. You will no doubt get plenty of "advice" on a site like this but I would just feel good about the end result if I were you.

With 3 implants placed strategically, you could have offered a fixed bridge instead of a partial. And 3 implants for a partial maybe overdoing it. 1 maybe 2 would have been sufficient

My question is why is the lower left side of this patient's mouth so damaged? Why were the teeth lost? I think you did a very good job in restoring function for this patient, and Locator attachments work well, and there is n doubt stability for the lower partial denture......do consider an implant (s) where that distal molar is because it will surely have to be replaced.

Would like to thank everyone for responding. The prosthesis is unilateral. I have a ball attachment on the canine and partial is very stable. The patients only complaint is food trapping mesial to tipped molar. Maybe I should remove it and extend the partial? To address some questions. Yes, fixed could have been done. Money problem. I think one implant may have created a teeter totter effect. Two would have worked. I did three for increased retention and insurance should one become a problem. The mental foramen is almost on the crest and there is six mm of bone superior to the roof of the mandibular nerve distally. An implant to replace the molar maybe a challenge. Yes I would have spread them apart more. Unilateral tooth loss is a little unusual. The remaining teeth are very stable. I am still learning. I look at every case and ask myself what I could improve on. This case is no different. Thanks again.