After 1.6 mm drill, Magic Expanders are used to finish osteotomy, followed by insertion of a 5x11 mm dummy implant with low stability (Fig.2).   ^: mesial bony defect, which will be filled with bone graft after placement of a 5.5x11 mm implant (Fig.3 ^).

The wound dehisces 12 days postop (Fig.6 ^), which may be related to loss of graft meisally 3 months postop (Fig.7 <).  It seems less likely for the wound to dehisce if a large abutment is placed, because of less tension.

Implant 2nd Placement with Further Bone Graft Last Next

Xin Wei, DDS, PhD, MS 1st edition 11/16/2016, last revision 07/10/2019