Comprehensive Treatment Plan for Patient with Significant Periodontal Disease?

Dr. S. asks:
I have a patient who presents with missing teeth and many of the remaining teeth have significant periodontal disease. I am posting this case to get some input. I am planning for the long term. One treatment option would be a full mouth edentulation followed by placing 4 implants in the maxilla and 2 implants in the mandible and inserting overdentures. Do you think this is too extreme? Are other more conservative treatment plans preferable? What do you recommend?

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