Stability is achieved with a 8x11 mm Tatum tapered tap (Fig.4), followed by a 8x11 mm implant with insertion torque of 60 Ncm (Fig.5).

Sinus symptom disappears immediately postop and the wound heals 8 days postop.  A healing cuff is placed with triple antibiotic ointment 2 months postop. 

Next visit (10 days later, 2.5 months postop), the patient returns for final restoration.  The implant appears to have osteointegrated (Fig.6).  There is no bone loss 1 year 8 months post cementation (Fig.9).  In fact the Zirconium onlay of the opposing tooth fractures (*).

Perforation Last Next Xin Wei, DDS, PhD, MS 1st edition 06/29/2018, last revision 05/24/2019