Sequential osteotomy stops one size smaller than the expected size of the implants (Fig.2): the last drills for the sites of 18 and 19 are 4.5x10 and 4.5x12 mm, respectively.  Because of underprep, insertion torque for these two implants are around 55 Ncm.

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Xin Wei, DDS, PhD, MS 1st edition 08/30/2015, last revision 12/26/2018