A larger implant is placed (6.9x10 mm Fig.5) with insertion torque 50/60 Ncm.  The implant appears to invade buccal space.  The buccal plate appears to be thin.  A 7.8x4(4.5) mm abutment (A) is placed immediately for immediate provisional fabrication.  The harvested autogenous bone is mixed with Osteogen and placed in the distal remaining socket.  Combination of the abutment and provisional keeps the bone graft in place.  Red dashed line: the distal root of the tooth #30.

The implant crown (C) functions normally 6 months post cementation without bone resorption (Fig.10).  Dense bone appears to have grown into the implant threads nearly 14 months post cementaton (Fig.11 < (new sensor)).

Fig.12: 22 months post cementation.  The bone remains covering the plateau of the implant (arrowheads).

Mismatch Last Next Xin Wei, DDS, PhD, MS 1st edition 04/22/2015, last revision 08/04/2019