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Anand Choubal Replied at Tue, Aug 21, 2018 1:03 PM
Thank you Ho-Young, I will send to the radiologist and see what they say.
This patient has extremely high occlusal forces so I think 3 implants will be the way to go.
Very much appreciate your insight
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Ho-Young Chung Replied at Mon, Aug 20, 2018 1:33 PM
Thanks for posting this case. My suggestion is send for radiographic report. It will give you peace of mind and cover your butt as well if there is a complication. It's a small fee to pay. You can send digital file to either a radiography office in Alberta or even in Ontario like Canaray.
Also, you will need to do GBR for definitely 46 area and possibly 47 as well as you have a deficient ridge on the buccal aspect. I would also recommend that you consider doing a 3 unit implant bridge as an option as the edentulous space will be quite wide. I would have a wax up done either digitally or manually.