It looks like there’s great interproximal Bone so that’s what you should lean into on a case like this. You may have to go slightly wider to get really good engagement on the mesial and distal walls and remove some of the lingual portion of the bone socket just slightly so that you can maintain a good 2 mm buccal gap so you have sufficient…

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My pleasure. Have a happy Easter.

Clinical experience and research shows they have almost the same success rate as long implants. If you have the bone width, I do prefer to go wider when I go shorter if there’s enough bone and biology to allow that.

I would choose option #1. Typically if the RBH is 4mm or more I will do a Crestal sinus lift rather than a lateral sinus lift. Irregular anatomy may be easier to manipulate via the Crestal approach as well is this case.

It very well could be a mucus retained cyst (very common) which typically we don’t do anything for unless you need to do a sinus lift, and that can be physically removed doing a lateral window and if you don’t want to take that on you could have the ENT remove that so it is clear and will give you a better opportunity to do a proper Crestal sinus lift.

Hello William,

The design looks relatively good relative to how the implants were replaced. As you drew the lines, you could obviously make a better emergency profile from the head so there’s more of a convex rather than concave emergence profile. You could get a little tissue compression may be around a millimeter or so, but it just depends on…

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