Implants (4x13 and 5x11 mm at #19 and 18, respectively) are placed with insertion torque >35 Ncm with clearance from the Inferior Alveolar Canal (Fig.2,3 (red dashed line)).  Abutments (5.5x5.7(4) and 5.5x4(4) mm) are placed to make it easy to approximate the wound (without tension) and close the socket as much as possible (after bone graft *) and to hold periodontal dressing in place.  The distal crest of #18 is trimmed prior to placement of the abutment. 

Extraction instead of Ortho

Xin Wei, DDS, PhD, MS 1st edition 12/05/2016, last revision 12/13/2016