Short Statue, Short Implant

A 59-year-old lady has history of periodontal disease and bruxism.  The tooth #19 has pulpitis after unsuccessful DO composite (Fig.1 *) and requires root canal therapy (Fig.2).  Six months later, a fistula is found to communicate with the furca (Fig.3 *: gutta percha).  Less than 3 years, the furca enlarges with symptoms of infection (Fig.4 *).  She works out of state. The Principle of No Implant, No Extraction is adhered.  Since she is of short statue, the bone height is relatively limited.  A 6x14 mm tissue-level implant is appropriate (Fig.5, one piece).  Sensor 1 may be proper for her small mouth.  When the bottom of the socket is large and close to the Inferior Alveolar Nerve, can an immediate implant be placed?

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Xin Wei, DDS, PhD, MS 1st edition 05/17/2015, last revision 12/09/2018