FPD Fracture

A 48-year-old man returns to clinic with fractured FPD 1 year 5 months post cementation (temp bond, Fig.1,7).  It appears necessary to add an implant at #13 site (Fig.2).  The narrow ridge is reduced to start an osteotomy (Fig.3 *).  After change in osteotomy position and trajectory (Fig.4), a 3x10(4) mm 1-piece implant is placed (Fig.5).  With deeper placement of the implant (Fig.6 arrow), cortical bone graft is placed (*).

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Xin Wei, DDS, PhD, MS 1st edition 08/25/2020, last revision 08/26/2020