Background: Nowadays esthetics is one of the main considerations. So, dentures not only rehabilitate functions, but esthetics as well. The problem is that “conventional denture making” requires several steps which sometimes force a patient into a toothless phase which affects both functional and esthetical aspects. In some cases, the patients are unable to endure this condition due to esthetic reasons. Immediate dentures will be the best solution for them. Purpose: To provide information about immediate complete overdenture design and fabrication. Case: A 61-year-old female patient, an active physician, came to the Dental Hospital of Airlangga University, complaining about her upper partial denture and lower complete denture, which had been worn for 10 years. They weren’t comfortable to wear anymore. She wanted new dentures, without the toothless phase. The remaining teeth were 16, 13, 12, and 22. 13 and 22 were used as retainers for the upper partial denture but the inclination and vitality of the teeth were bad. Case management: Immediate complete overdenture was made for the upper edentulous ridge. Immediate treatment was chosen because of the esthetic consideration. Overdenture treatment was chosen because it preserves the bone dimensions. 16 and 12 were extracted, while 13 and 22 were endodontically treated. The complete denture was then fabricated by cutting of 13 and 22 on the functional model. After the complete denture had been fabricated, the patient’s teeth 13 and 22 were decaputated as high as the gingival level and then restored with GIC on the surface. The denture was then inserted immediately after the decaputations. Discussion: An immediate denture is a denture which is made first before decaputation or extraction, then immediately inserted into the mouth after the tooth decaputation or extraction. Designing an immediate denture will give some advantages to patients, especially from the esthetic aspect. An overdenture is a good treatment for patients whose condition of teeth crowns is bad but periodontal tissue and teeth roots are in good condition. In conclusion, an immediate denture is the best treatment where esthetics is the main consideratio
