I was on a certain medication that was causing me to have extreme dry mouth, which eventually starts to erode your teeth out. Dr. Walline was, as it pertains to my top teeth, is that they had to take out almost all my back teeth and leave the four remaining front of my teeth in. Once that was all cleared and everything was in alignment, then he immediately removed my remaining front four teeth and then placed the implant. I can speak from experience when I tell you will know with absolute certainty you have been blessed to be in Dr. Walline's presence and to be blessed by his masterful skills.--Sekhmet