I have a healthy 77-yr old female patient that needs an implant for tooth # 21. As you can see from the case photos below, the nasopalatine canal is an issue. I had planned to do an immediate until I saw this. I am familiar with removal of the canal contents and grafting before proceeding or even concurrent with the implant placement immediate or delayed. I would really appreciate your comments on this case. Thanks in advance to your feedback.