My patient is a 67 year old female with extensive dry mouth and rampant caries. She has a medical history of MS and our plan at this time is to extract all the teeth and place immediate full upper and lower dentures. I have presented the option of orthognathic surgery to correct her jaw relationship but she is not in agreement to have that. We have discussed implants but I wasn’t sure at the time with her skeletal relationship if that is possible. I would like to know if implant supported teeth are an option without orthognathic surgery and how would the prosthetics be designed. Finances are not an issue. How would you treat this case?