After SRP and extraction, osteotomy is initiated mesial to the sockets #23,25 and 26 (Fig.3,4) with intention to place 3 1-piece implants for 3 incisor crowns (Fig.5,6).  Following Vanilla graft (Fig.5 *) a splinted provisional is fabricated to close the sockets (Fig.6).  The lingual plate perforates when 1.5 mm drill is being used at ~ 14 mm at #26.  The osteotomy is then changed more buccal apically.  Peri-implant spaces close 5.5 months postop (Fig.7).

3 Implants for 4 Incisors Last Next

Xin Wei, DDS, PhD, MS 1st edition 09/17/2018, last revision 09/17/2018