When the crown at #19 is cemented, the tooth #3 is found to have severe buccal recession.  A 5.3x10 mm implant is not only placed deep, but also palatal (Fig.5, Clindamycin).  An abutment will be selected with the longest cuff (6 mm (pink)).  To make the palatal gingival margin recede, the coronal palatal bone (<) will be broken and pushed to the palatal socket.

Before implant placement, insert PRF plug or membrane (purple curved line) and allograft (red circles).  The remaining PRF membranes will be used to cover buccal defect.  Draw 4-5 tubes of blood.

Deep and Palatal

Xin Wei, DDS, PhD, MS 1st edition 04/21/2017, last revision 04/21/2017