The 1st molar ridges appear to be narrow (Fig.4,5), as compared to that of the 2nd molar (Fig.3 (B: buccal)).  Ridge reduction seems to be necessary for the 1st molar sites prior to implant (green area) placement or deeper osteotomy.

Guided Surgery

Xin Wei, DDS, PhD, MS 1st edition 11/28/2017, last revision 12/01/2017