Following sequential osteotomy, a 3.8x15 mm dummy implant is placed partially (Fig.3 (pink: apical osteotomy; red: nasal floor)).  After placement of an implant with the same dimension as the dummy's (Fig.4), PRF is laid against the inner surface of the buccal defect and allograft (Fig.5 *) is packed mainly in the buccal gap before and after insertion of a 4.5x5(4) mm abutment.  The bone graft remains in place 3.5 and 4.5 months postop (Fig.11,12 *).  Between 3 and 4 months postop, the mesial surface of the abutment has been trimmed (Fig.12 >).  Since the mesial surface of the tooth #10 will be reduced (white curved line) to correct the upper dental midline, an angled abutment (red line) seems to be necessary to shift the provisional distal.

Buccal Plate Repair Last Next Xin Wei, DDS, PhD, MS 1st edition 02/02/2018, last revision 09/03/2018