Missing Lower 6: How to Approach this Case?

Last Updated July 24, 2019
Reviewed By:  Dr. Peter Hunt

The patient is missing lower 6. Other teeth have migrated, so the space is 5.5 mm at the occlusal plane level and 7.5 mm at the CEJ level. Can I place an implant, probably 3.75mm? I may have enough bone VL for 4.2mm but will be very close MD. It will be difficult to fulfill 1.5 mm rule for the papilla.

Even if it is a premolar, the 3.75mm will be difficult to support the occlusal force. Also any problem with angulation, or MD placement will make the restoration very difficult. Ortho also is a treatment option.

I’ll be happy to hear you thoughts on how to approach this case.



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