Further pushing of the bone graft from the buccal and palatal socket gaps results in more ideal packing (Fig.5 >).  If the bone graft were placed first, packing would have been easier.  An immediate provisional is fabricated to prevent further mesial shifting of the 3rd molar (Fig.1 arrow).  The implant remains stable, while the provisional and abutment are loose 3 months 1 week postop (Fig.6).  Impression is taken after abutment cleaning and retightening.

Bone Graft First Last Next

Xin Wei, DDS, PhD, MS 1st edition 10/25/2017, last revision 03/04/2018