In spite of underprep osteotomy, a 3.8x18 mm implant achieves ~ 20 Ncm of insertion torque (Fig.2).  When a 4.5x5(5) mm abutment is placed, it is buccal.  It appears that an angled abutment is needed for final restoration (probably 4.5x15 or 25 degrees, 5 mm cuff). * Vanilla/Osteogen.  The implant becomes stable 5 months postop (Fig.4), but the buccal gingiva is erythematous and tender, probably due to infected bone graft, which is removed.

Soft Long Bone Last Next Xin Wei, DDS, PhD, MS 1st edition 12/02/2018, last revision 12/18/2018