The patient returns with pain distal to the implant 6 months later (11 months postop, Fig.7,8).   The gingiva within the socket looks unhealthy (diabetes).  The other unfavorable factors for immediate implant of this case are chronic periodontitis (severe bone loss) and sinus perforation.

Drill Perforation Last Next Xin Wei, DDS, PhD, MS 1st edition 09/06/2018, last revision 09/06/2018