Fig. 27 Fig. 31 Full PFZ (Porcelain Fused to Zirconium) Roundhouse with immediate removals and implant placement. (Fig.27) Fig. 28 Natural tooth abutments failing in fu f full ll cleft palate patient with obturator. Mini implants are placed into almost no bone to hold the denture in place. (Fig. 31) Fig. 32 Fixed final restoration by Dr. Victor Sendax 1 (Fig.28) Fig. 29 Fixed final PFM restoration combining mini dental implants and natural teeth by Dr. Victor Sendax 1 (Fig. 29) Salvage cases Conventional implant failed and pt didn't want sinus augmentation so implants were placed into buccal and palatal bone as shown in the previous article for bicortical stabi-lization. PFZ restoration. (Fig. 30) 38 Fall 2014 JAOS Fig. 30 Dr. Juan Echeverri shows how from 2006 to 2010 all the conventional implants on this patient failed and mini implants were used to replace the implants as they failed on the upper arch. Pt now has mini implant supported denture. (Fig. 32)