A case study of 32-year-old patient is presented who comes to the practice after an accident with very unfavorable fractures in the lower central incisors; the situation entails an extraction of 31 and 41. Topics include examines it has been known for some time that 36, 46 and 47 must be extracted, which is done as part of this treatment and an implantation is not possible due to the insufficient bone supply.