For the best trajectory, osteotomy at #8 should be initiated as palatally as possible (Fig.8 *). When a 4x11 mm 2-piece implant is placed, there is possibility that the apical buccal plate may be perforated (>). In contrast, a 3x11 mm 1-piece implant is more skinny with less coronal palatal thread exposure (Fig.9). The latter will be covered with bone graft and collagen dressing.
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Xin Wei, DDS, PhD, MS 1st edition 08/13/2014, last revision 09/04/2016