When a 2 mm pilot drill is being used at #8, there is sudden empty feeling; the nasal floor is most likely perforated (Fig.5 >).  When the parallel pin is removed from the osteotomy site of #8, there is moderate hemorrhage.  Hemostasis is achieved when 4.1x14 mm implants are placed (Fig.6, insertion torque >50 Ncm).  Temporary abutments (T) are placed for immediate provisionals.   These implants are further torqued afterwards.  It appears that the position is ideal.  Autogenous bone, allograft and Osteogen are placed in the buccal gaps.

Implant Palatal Placement Last Next

Xin Wei, DDS, PhD, MS 1st edition 11/24/2015, last revision 02/14/2019