When a 4.5x20 mm tap is placed, there is not much resistance (Fig.2").  The autogenous bone (harvested from reamers), mixed with Bicon Synthograft, is placed in the buccal and mesial portions of the socket prior to placement of a 4.5x20 mm implant (Fig.3 I; 40 Ncm) in hope to increase primary stability.  A: 3.5x5 mm abutment.

Possible Osteoporosis for Male

Xin Wei, DDS, PhD, MS 1st edition 08/01/2015, last revision 01/19/2018