I intend to install a 4.2 x 10mm implant. Do you think it is necessary to do ridge split or vertical ridge height reduction to achieve adequate bone width volume in this case? The buccal bone thickness is 1mm, and the lingual thickness is nearly 1.5mm at 1.5mm below the ridge. Also there is a bone vacuum. Do you think that this case will be compromised for the osseointegration and later for the implant loading?
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