This treatment demonstrates the extraction of a maxillary lateral incisor and the immediate placement of a 4.0 x 6.0-mm implant with a 2.5-mm well for a 91-year-old man. An implant-level transfer impression was made for an existing integrated molar implant and the immediately placed incisor implant. The existing molar implant, with a 3.0-mm well, was used to provide support for a temporary prosthesis during the four months of healing. The permanent TRINIA® prosthesis with six units of handcrafted polyceramic teeth was cemented at the time of the implant’s uncovering during the patient’s second clinical visit.