This case report describes the treatment of an adult patient with partial anodontia. Treatment began with the extraction of several retained primary teeth and the insertion of an immediate transitional removable partial denture that was used to evaluate the possibility of increasing the patient's vertical dimension of occlusion. Later, the entire mandibular arch was restored with fixed restorations. Once the vertical dimension of occlusion was established and controlled, the maxillary arch was restored. Metal-ceramic crowns placed on the central incisors were contoured to accommodate a rotational path removable partial denture. The partial denture utilized rigid metal retention on the distal surface of the central incisors instead of clasps. This design produced a very esthetic and stable prosthesis.