Without raising the buccal gingiva (Fig.3 B), osteotomy in the septum is established apparently in the middle of the socket (Fig.3 *, 4).   If the buccal gingiva were raised, the osteotomy would be initiated slightly more buccal so that the palatal implant thread exposure would be less.

Small pieces of gauze saturated with 1:50,000 Epinephrine are inserted into the 3 sockets prior to osteotomy to reduce hemorrhage.

Study Septal Buccopalatal Dimension Before Initiating Osteotomy  Last   Next

Xin Wei, DDS, PhD, MS 1st edition 11/10/2017, last revision 12/25/2019