A 4x13 mm IBS implant is seated incompletely.  The osteotomy is further enlarged by 3.8 mm Magic Drill for 11 mm and deepened with 3 mm drill until 18 mm.  Finally the implant is placed at a satisfactory level with insertion torque > 50 Ncm (Fig.5).  The patient chooses to return for impression 6 months postop (Fig.6).  The abutment changes to a 4x4(4) mm one.  The crown is recemented  nearly 2 years post cementation, which is related to distal and deep placement of the implant and bruxism (Fig.7).

Flapless Last Next Xin Wei, DDS, PhD, MS 1st edition 09/05/2019, last revision 09/05/2019