A 46-year-old lady is a dental phobic.  She has had extraction ortho.  The tooth #14 must have been nonfunctional for quite a while, as evidenced by distal shifting of the 2nd premolar (Fig.1 open arrow).  The mesiodistal edentulous space is narrow.

The bone height is somewhat limited, since the sinus floor (^) is inferior to the palatal apex (P).

Limited Ortho

Xin Wei, DDS, PhD, MS 1st edition 01/02/2015, last revision 01/03/2015