The last drill is 4.3 mm, followed by 4.8 mm Magic Expander since the palatal wall of the osteotomy is thin after the last drill.  A 5x13 mm IBS implant is placed with ~ 45 Ncm.  The apical portion of the 3 sockets is filled with Osteogen plug and the coronal portion with autogenous bone (harvested from MD), mixed with allograft and Osteogen (Fig.4 * as well as collagen plug in the most superficial portion of the sockets).  A 6.5x4(4) mm pair abutment (Fig.4 A) is placed to hold an immediate provisional in place.

Larger Abutment Last Next

Xin Wei, DDS, PhD, MS 1st edition 11/15/2016, last revision 06/03/2018