The patient returns for orthodontic treatment 7-8 months post implantation at the sites of #3, 20, 21, and 30 (Fig.4,6,7).  He is willing to let the tooth #5 be extracted if necessary, since it has mobility.  The tooth is only the functioning posterior tooth in his mouth (Fig.1).  It must have occlusal overloading, particularly opposing the implant tooth #28 (Fig.1,7).  Multiple implants and ortho treatment appear to be needed.

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Xin Wei, DDS, PhD, MS 1st edition 10/19/2014, last revision 10/20/2014