who have aids who are under cancer treatment I ha

who have aids who are under cancer treatment I have some other metabolic conditions these are relative contraindications how well are they controlled you have to-do this in concert you know with the is that they come back and it is our fault they will not take responsibility for which goes back to the original comment that you have to do an evaluation Illumi White  and picked that patient that you want to-do young doc you want to go after the low low-hangingfruit you know you have a cardiac surgeon that goes in and does cardiac surgery and the patient lives for five years and the family gathers around at the funeral and says thank you doctor for keeping the patient alive you know our Father our cousin or whoever and we  procedure I may keep that patient on antibiotics for a longer period of time for instance in the sinus lift in the sinus procedure and we started doing sinus lifts back in the late 70's early 80's I think the first paper I wrote on the sinus lift was about 79 1978 if you have about at least five millimeters I'll alular bone the magic number being five if you have five millimeters about the lower bone then I would suggest you have enough loan to put the implant and to the sinus lift at the same time if you don't then I would do the sinus lift procedure wait three or four months and then put your implants in now depending on the graft material that you’re using and the ancillary material like stem cells or concentrated growth Factor's in three to four months when you place in the implants this is not bone it is turning into bone but the biology a bone is that is going to take 40 to 50 weeks for their phone to become mineralized so you could but the graft in this is now on your patient that has a only to three millimeters above about their bone but your Grafton wait three to four months put your implant in and wait an additional six months so now your bone graft has healed for 9-10 months and your implants within the graph aft is healing about that four to five months and remember that that interface is Avery image sure woven bone so you have to treat them bone very gently with your restorative procedures to .