Thanks for sharing Michael! Are implants already or are you starting from scratch and working it up?

All of scratch, high profile pt… looking to immediately load on the same day

First thing that comes to mind is the upper lip and gingival display. Make sure you do enough bone reduction to cover up the transition line or it will be a nightmare.

Several different possibilities here.

The bone in the posterior is limited. Is sinus grafting a possibility for the patient? I bring it up because he looks maybe under 40 years old and it would be great to have more bone to work with for longer term.

If not, angulating the posterior implants would work just as well but it looks like you would only be able to get implants up until the first premolar. And by the time you do the alveolplasty, you’d be even more limited.

Would love to hear everyone’s thoughts on sinus grafting vs angular AllonX protocol for this case.