The incorporation of more than one dental implant system within the same restorative segment may be a reliable approach to treatment. This article describes a clinical situation that was resolved, after the failure of a pre-existing subperiosteal implant, by the use of both subperiosteal and osseointegrated fixtures concurrently. The result was an increase in stability, and it is hoped that restoration settling will be minimized. Keywords: atrophic, endosseous implant, hydroxylapatite, subperiosteal implant