I have an interesting case here.
Impacted tooth 11. The crestal ridge is 4 mm. wide in the area 11. The crestal ridge is 2 mm wide in the area 13. In the area 14, the width is 3.53mm and the height is 3.79mm. What would be the most efficient treatment plan?
I thought about:
1 – Extraction impacted canine 11, bone grafing in that area, 7 implant placement with GBR, sinus lift upper left side
2 – 3 month healing period
3 – Implant placement 11, 13, 14 with simultaneous GBR
4 – 6 month healing period
5 – Crowns and bridges on implants
My concerns are:
1- Will I be able to do simultaneous implant placement 11,13,14 with GBR because the crest is thin?
2- Could the flap for the extraction of the impacted canine interfere with the sinus lift?
![null][efficient treatment plan one](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2012/09/8348-1-300x158.jpg “8348-1”)](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2012/09/8348-1.jpg)
![null][efficient treatment plan two](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2012/09/8348-2-300x174.jpg “8348-2”)](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2012/09/8348-2.jpg)
![null][efficient treatment plan 3](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2012/09/8348-3-300x173.jpg “8348-3”)](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2012/09/8348-3.jpg)
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