Panoramic X-ray (Fig.1) and CBCT (Fig.10,11) show limited bone height at the sites of #18 and 19.  It appears that 5x8 and 5.9x6 mm implants are appropriate with ridge reduction at #19.

Sequential Osteotomy:

  19 18
2mm Drill with Stopper SM Kit 8 mm Sinus Master Kit 6 mm
Parallel Pins for PA Marked Marked
  SM Kit Extra Wide Kit: Trephine, Final Drill, Tap

Upright 2nd Bicuspid

Xin Wei, DDS, PhD, MS 1st edition 10/17/2017, last revision 01/19/2018