All on 4, Implant supported denture, sinus lift?

Last Updated January 22, 2020

This is a 51 year old male, with obvious severe problems. Would like some opinions on where to go with this. The maxilla will need full arch extractions, then either hybrid or all on 4, possibly fixed, if successful with bilateral sinus lifts. The lower anteriors are going to eventually fail, but not sure about extracting everything or leaving cuspid to cuspid at this time. Any opinions are appreciated.

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