Septum May be Significantly Longer than Buccopalatal Plates

A 64-year-old man has poor dentition (Fig.1 (taken a year ago)).  After extraction of #15 and 17 in China, the tooth #14 develops retrograde pulpitis with severe buccopalatal gingival recession  (Fig.2).  It appears that the septum is longer than the buccopalatal plates.  A small and relatively long implant (3.8 or 4x11.5 mm) is placed within the boundary of the septum.  The most peripheral socket is packed with PRF membranes (2-3 tubes) and collagen plug, while the portion close to the implant threads with Vera Graft.  Please remember osteotomy depths with hard and soft tissue landmarks (Fig.2).

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Xin Wei, DDS, PhD, MS 1st edition 11/04/2017, last revision 03/04/2018