CT taken 3 years 1.5 months postop, 2 years 10 months post cementation shows the presence of the buccal plate, although thin (Fig.10 >, consistent with Fig.4).  A smaller implant (4 or 4.5 mm instead of 5 mm) may be associated with a thicker buccal plate.  Or the implant should have been placed a little more palatally.  Or more of allograft should have been supplemented.

Instant Ortho

Xin Wei, DDS, PhD, MS 1st edition 10/24/2014, last revision 01/23/2016