The present study reports on the results of a follow-up examination of patient material, 5 years after the installation of the fixed supraconstruction. The patient group comprised 11 individuals. Briefly, a split-mouth technique of treatment was used. In the right side of the mandible the traditional 2-step surgical approach for implant installation was used. In the left jaw quadrant a 1-step surgical procedure was used. A clinical and radiographical examination was performed 5 years after the initial connection of the supraconstruction to the implants. At the 5-year follow-up examination all 61 implants examined at the 18-month follow-up were still in service and found to be clinically stable irrespective of the surgical procedure used. Furthermore, the results of the present clinical and radiographical follow-up study demonstrate that the marginal bone level at implants placed anteriorly in the edentulous mandible and supporting fixed supraconstructions is stable between 18 and 60 months irrespective of whether placed according to a 1-step or 2-step surgical procedure.