Implants in Stage
Due to finance, the implant at H or 11 will be placed first. Although the tooth H is loose, try Socket Shield if appropriate. In fact it is not practical, since the alveolus is narrow. Maybe 1-piece implants are the best option.
The 2nd revision (Fig.6-8). After #11 implant placement (Fig.9,10), turn to the buccal concavity at #C (Fig.11). Make a mesial remote vertical incision (Fig.12 red line). Use Molt's curette or sinus lift instruments for dissection (Fig.13 blue dashed line) and a round diamond bur connected to a surgical handpiece for bleeding surface (green) before bone graft. Take 5x5 cm CT. A few months later, the regenerated buccal plate (Fig.14 white curved line) allows placement of a 3.5x13 mm implant with reduced chance of buccal perforation.
Canine Immediate Implant,
Xin Wei, DDS, PhD, MS 1st edition 10/19/2019, last revision 12/20/2019