After adjustment of trajectory, a 4x11 mm definitive implant is placed at #14 with ~ 35 Ncm, while a 6x9 mm implant is placed at #15 with ~35 Ncm (Fig.2 (*: Vanilla Graft with Osteogen)). Periodontal dressing is applied around the abutments and neighboring teeth.  There is mild oral and nasal hemorrhage postop.  In fact the patient has history of stroke with oral Plavix intake.  The medicine stops 4 days preop and is advised to resume after hemostasis is achieved.

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Xin Wei, DDS, PhD, MS 1st edition 11/28/2017, last revision 09/16/2018