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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