Place Shorter, Smaller Dental Implants or Graft?

I am a young adult and am missing two molars on one side, first and second (no 3rd). I have one opinon to place a 4x8 implant in the 1st and 3x6 in the 2nd without any additonal bone grafting (had one already for first molar, after a post opt infection from first attempt at implant, we did not try second molar at this time) Another opinion I have got is to block bone graft for addl height and width and bigger implants. I am so confushed I have two more consultations to go (all oral surgeons).

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Should I get shorter smaller implants or grafting

I would err on the side of caution as shorter implants generally have a higher failure rate than longer ones.  You may get even more confused the more dentist you speak with.

Philadelphia Cosmetic Dentist
5.0 out of 5 stars 4 reviews

Shorter, Smaller Dental Implants

If it were my mouth, I would opt for the longer, wider implant whenever possible. If you seek out 3 opinions, you will probably get 3 different answers. You have to trust and believe in your dentist that will be restoring the implants to work with a qualified, experienced oral surgeon, who will give you the best advice. If you go for other opinions, they will tend to tell you what you are looking to hear.

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Board Certified Periodontist

Not all implants are created equal nor are surgeons. Sounds like you probably need a sinus lift and another attempt at implants in the back of your mouth on the top two are better then one because the bone is softer. 

Tamara Rojas, DMD
Hollywood Cosmetic Dentist

Size matters with implants

Longer and wider is better, but may not make TOO much difference depending on occlusion.  If a graft can be placed so that longer implants can be placed, it is likely the best option.

Lance Timmerman, DMD
Seattle Cosmetic Dentist
5.0 out of 5 stars 3 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.