I have a 55 year old male patient, non-smoker, who presents with a failing 4 unit bridge from #26 to 23 (right lower lateral incisor to left lower lateral incisor) on his natural teeth #26, 24, 23. Teeth #24 and 23 are hopeless teeth and must be extracted. #26 is questionable and has a prior root canal. #27 and 22 (lower right and left canines) are in good shape. These are the treatment plans I am considering:
a. Extract 26, 24, 23 and place 2 implants in 26 and 23 sites for a 4 unit implant bridge
b. Retain #26, redo root canal, make 6 unit bridge from 27 to 22.
What do you recommend?
If I place implants, should I do that immediately after the extractions or should I wait 2 months? Will I need socket preservation in that case?
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