A 4.5x14 mm implant is placed with insertion torque >60 Ncm (Fig.5).  The implant remains lingual, whereas there is an approximate 3 mm buccal gap, which will be bone grafted.

The implant plateau is at the most coronal crest level and approximately 2-4 mm from CEJ of the neighboring teeth.  The crestal defect is expected to heal with bone graft.

Fig.9: 2 months postop. T: temporary abutment.  Bone appears to deposit mesial to the implant.

Tough Case

Xin Wei, DDS, PhD, MS 1st edition 02/26/2015, last revision 01/19/2018