need advice - to augmnet or not and how
Dear Dental XPers, ( I don't think pic is necessary )
I am anticipating treating a patient lower right posterior edentulous area. A ct scan evaluation and guided surgery design concluded that 8mm implants can be placed but due to the lingual buccal slant ( high to low ) of the crest of the ridge , 8mm will be fully engaged on the lingual aspect but two millimeters on the facial will be out of bone. My question is what is the best way to augment the shortness of bone coverage on the buccal aspect of the implant. I don't use any phlebotomy ( PRP) in my grafting procedures, rather bone grafting materials and membranes. Does it make sense to;
1) trephinate the bone plate around the implant, place chips and cover with collagen and close and wait ,( vertical bone growth ? ) or just augmnenjmt with soft tissue ? or use a 6 mm implant to cover completely ?