The 1 piece implant at #13 is removed, the apical 3 threads are cut off (Fig.6 <) and the remaining implant is re-inserted.  The insertion torques of the 2.5 mm implants at #12 and 13 are < 35 and 15 Ncm, respectively.  After adjustment (Fig.7), immediate provisionals are fabricated at #10 and 11 (later splinted with composite), while perio dressing is applied around the implants at #12 and 13 and the provisionals at #10 and 11.  There is no nasal hemorrhage postop. 

The patient returns for final restoration 3.5 months postop; it appears that the implants has osteointegrated (Fig.13).  There is mild bone loss at the crest of #13.

1-Piece Implants for Maxilla Last Next  Xin Wei, DDS, PhD, MS 1st edition 09/27/2015, last revision 02/09/2021