When the patient for implant placement, the existing bridge has been dislodged (Fig.1,2); the roots of the teeth #4 and 9 have also luxated from the sockets.  Since there is gingival hyperplasia between the residual roots at #3, implant placement at #3 and 4 needs incision and raising of the flaps.   Visibility increases, while the gingival tissue is preserved and the sockets are more easily closed than the flapless approach.

1st Stage Implants

Xin Wei, DDS, PhD, MS 1st edition 10/27/2015, last revision 11/01/2015