First lower molar extracted one year ago, severe atrophy: suggestions?

Last Updated April 06, 2014
Reviewed By:  Dr. Vipul Shukla

I have a 28 year old patient in who wants to have missing #19 replaced [maxillary left first molar; 36]. Since the extraction was done more than a year prior to the visit, more than 50% of the bone volume was lost buccolingually. PMH is unremarkable. What do I start with on this type of case? What is the best implant diameter/length to use on this case? What do I tell the patient about the treatment time?


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![null][dentology-molar-implant-2](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2014/04/DENTOLOGY-MOLAR-IMPLANT-2-300x285.jpg)](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2014/04/DENTOLOGY-MOLAR-IMPLANT-2.jpg)


![null][dentology-molar-implant-3](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2014/04/DENTOLOGY-MOLAR-IMPLANT-3.jpg)](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2014/04/DENTOLOGY-MOLAR-IMPLANT-3.jpg)


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