Mobility of the tooth #25 is his primary concern (Fig.2,3).  The first appointment will consists of lower arch scaling & root planing, extraction of #24 and 25 and immediate implants.  The smallest implants in our office is 3 mm (one piece).  Due to the limited mesiodistal space (< 9 mm), placement of two 3x14 mm one piece implants seems to be too crowded for restoration (Fig.2).  There is no much room to pack porcelain to cover grayish metal showing. In contrast, one implant can be placed in the mesial slope of the tooth #24 (Fig.3).

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Xin Wei, DDS, PhD, MS 1st edition 08/03/2014, last revision 01/19/2018