Ectodermal dysplasia is a disorder of a group of syndromes derived from abnormalities of the ectodermal structures. Patients usually present with two or more ectodermal structures such as the hair, teeth, nails, sweat glands ,salivary glands ,cranial-facial structure, digits and other parts of the body. Advances such as implant supported fixed prosthesis has shown a promising future to these patients. The aim of the present study is to present a report on a boy with hypodontia caused by hypohydrotic ED who received dental implants at the age of 20 years and provided implant supported fixed dental prosthesis. Four implants were placed avoiding the mental foramen. Post operative OPG after 6 months revealed sustained level of bone around implants. A one year post operative follow up showed improved chewing efficiency, esthetics and had a better standard of living. Post operative OPG after 1 year of implant placement showed consistent level of bone around implants.