Occlusal Trauma due to Partial Edentulism

A 49-year-old woman returns to clinic with pain in the lower right related to work stress.  There is probing pain #30 DB without deep pockets.  Evidence of occlusal trauma to the distal root of the tooth #30 includes increased pdl (Fig.1 D), and root exposure (Fig.3 D).  The trauma is related to the cantilever FPD of #38-31 and missing #18 and 19 (Fig.1).  It is necessary to place implants at the sites (Fig.2,4).  Short implants are expected.  Guide should be helpful.

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Xin Wei, DDS, PhD, MS 1st edition 08/23/2018, last revision 08/23/2018