A 4x14 mm dummy implant is placed free hand (Fig.1).  Following initial placement of a final 4x17 mm implant and bone graft (Fig.2 *), the crown and abutment of #3 and the guide are reseated for correct implant trajectory.  The guide has to be removed for final depth control of the tissue-level implant.  More bone graft is inserted mesial of #4 implant with a 3.5x5 mm abutment (Fig.3 *).  The implant at # 4 seem to have osteointegrated, especially mesial, nearly 5.5 months postop (Fig.7,8).

Guide Lift Last Next Xin Wei, DDS, PhD, MS 1st edition 10/12/2019, last revision 11/17/2019