Initial osteotomy is 16 mm apical to the palatal crest (~ 4 mm apical to the socket, Fig.4). A 3.8x16 mm implant is placed with insertion torque > 35 Ncm (Fig.5). When the small diameter implant is placed as well as a 4.5x5(3) mm abutment (Fig.6 A), there is >2 mm space buccally (for bone graft: *), considering potentially severe postop bone resorption. PRF is placed buccally prior to bone grafting.
When the patient returns for final restoration 7 months postop, the provisional has been recemented in a wrong position with a commercial cement by the patient (Fig.9 *) .
The previous socket appears to have been filled with new bone 17 months postop and 8.5 months post cementation (Fig.18 *). The new bone becomes denser 1 year later (Fig.19 *).
Repair Buccal Defect Internally Last Next
Xin Wei, DDS, PhD, MS 1st edition 03/28/2016, last revision 06/13/2021