Initially a shorter osteotomy (by 3 mm) is made: there is minimal engagement with the labial bone (Fig.4' between arrowheads (CT coronal section from not the same patient)).  The osteotomy is extended (Fig.4'') with more labial bone/implant contact (between arrowheads). 

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Xin Wei, DDS, PhD, MS 1st edition 05/17/2015, last revision 02/03/2019