CT Design: Palatal Placement

A 48-year-old man requests implant at the site of #9, 4 years after extraction (due to accident).  The buccal plate is atrophic (Fig.2 CT coronal section).  Arrowheads in Fig.2 show the denture tooth at the site of #9.

The implant will be 3x17 mm one piece (Fig.5).  The osteotomy is initiated intentionally more palatal.  Since the resistance of the palatal wall is greater than that of the buccal one, the implant may be deviated slightly buccally, hopefully in the center of the crown.  The palatal exposure threads will be covered by allograft/Osteogen and Osteotape (red circles).

If the implant is placed too buccally, but stable, bone graft will be placed buccally, probably from chin.  If necessary, gingival graft will be harvested from the palate. 

Return to Atrophic Ridge Surgery Postop CT

Xin Wei, DDS, PhD, MS 1st edition 08/10/2015, last revision 08/05/2018