The provisional is loose with mild tenderness.  A pull on the provisional leads to dislodgement of the abutment and implant.  Raising the buccal flap reveals perforation of the buccal plate (Fig.2 <) with granulation tissue. 

Repair of Buccal Plate Last Next

Xin Wei, DDS, PhD, MS 1st edition 11/28/2014, last revision 02/03/2019