When the tooth is extracted, the septum (Fig.2 S) is deviated distally (Fig.3 arrowheads).  Osteotomy for immediate implant is initiated in the center of the septum with the coronal end of drills (Fig.3) and implant (Fig.4 I (5x12 mm)/abutment (Fig.4,5 A (7.8x5.5(2) mm) in the center of the edentulous space as much as possible.  Prior to implant placement, mixture of allograft and Osteogen is used for sinus lift (Fig.4 *).  Retrospectively, the implant should be placed in the center of the socket using surgical guide.

Graft Materials Last Next

Xin Wei, DDS, PhD, MS 1st edition 01/05/2016, last revision 12/26/2019