Satisfactory function, esthetics, phonetics, together with long term stability, and minimal complications are considered as metrics defining a successful outcome. The current case report is documentation of a mandibular subperiosteal implant with a successful follow up of 56 years. Numerous issues can be credited for the long-term successful outcome including selection of the patient, heedfulness of basic anatomic and physiologic principles, design of the implant and superstructure, surgical execution, application of sound restorative principles, conscientious hygiene, and clockwork re-care. The case demonstrates intense cooperation and coordination between the surgeon, restorative dentist, laboratory technical staff, together with long lasting patient compliance. Execution of the treatment with a mandibular subperiosteal implant helped this patient overcome the status of a dental cripple. The highlight of the case is that it is the longest success ever documented in the history of any type of implant treatment.
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