Suggestions on placing an implant in lower left first molar?

No Do it now with placement and graft at the same time see our new protocol http://www.hindawi.com/journals/ijd/2015/589135/ , a good case in it , one of hundreds , preservation is the key so earlier better.. Peter

2nd the above you'll never have a better bone height than now.

I agree with the early placement and grafting....however, I think I would have opted to place two narrow ( 3.0 - 3.25 mm x 8 mm ) implants into the edentulous area, because it is a large space. The final crowns would be two bicuspid size crowns, with less chance of developing a food trap as probably what will happen with one crown in a wide space.... as the diameter of the implant is certainly narrower than the natural root, and the mesial-distal dimension must be the same as what the natural crown was....... but in any case, it should work out well.....give the patient a tiny proxy brush to get in there after meals.

Peter. In the study they mention two beta TCP/CS products that are European. Are there any products similar or the same products distributed in the United States ?

Yes I, one can place an implant at this time. If you have doubts about depth control, then graft with a particulate such as OsteoGen. Overfill when grafting and use a resorbable membrane. You can safely place an easy implant at this time.

Wow! That's a lot of bone loss at the mesial of the second molar. Who here thinks an implant with threads in that distal root area of the first molar site will gain bone to cover the implant up to the platform (3mm below gingival level or at the level of CEJ on the second premolar). I'm thinking that is a tall order.

Dear Dr. Delayed implant installation ( after completely healing of the socket) is recommended. Dr. Mehran Shokri Oral&Maxillofacial surgeon Fellowship in Advanced Implant Surgery Iran

Dear All Coleagues, I really worry about the bone loss at mesial root of the second molar. In my opinion, this case is a difficult case to manage the implant vertical position. How to create bone around the distal surface of the implant with only GBR? Hope to hear the advices from experienced specialist for this situation. In this case, I prefer to do late implant placement because of the safety and predictable result.