All of osteotomy steps mentioned above are under prep, leading to high insertion torque of a 4.5x20 mm tissue-level implant (Fig.8: I, >60 Ncm).  A 3.5x5 mm abutment is placed immediately (A) for an immediate provisional.  After placement of Osteo Tape (buccally) and allograft/Osteogen in the remaining socket (*), the provisional is cemented temporarily.  The provisional stays in place for the next 5 months (Fig.10 *), while a peri-implant space is closing (Fig.10 <, as compared to Fig.8).

Lindemann Bur

Xin Wei, DDS, PhD, MS 1st edition 02/27/2016, last revision 02/27/2016