To reduce the gap and periimplantitis, a 5x11 mm IBS implant is placed with insertion torque > 50 Ncm after further osteotomy using Magic Drills (Fig.4).  Following placement of 5.5x4(4) mm abutment (A), a splinted provisional is fabricated at #3 and 4.  The provisional is stable 3 months postop (Fig.7).  Bone graft appears to remain between the implant fins (arrows).

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Xin Wei, DDS, PhD, MS 1st edition 03/23/2017, last revision 11/25/2018