Since the gingiva is as thick as 7.5 mm (Fig.3 arrow), a 3x14 mm 1-piece implant with 4 mm cuff is placed (Fig.5); three implant threads are outside the native bone; with allograft (*) placed and the neighboring crests being coronal to the threads, the chance of periimplantitis should be remote.  An immediate provisional is fabricated to contain the graft in place.  The top 3 threads appear to be contacted by the newly formed crestal bone 6 months postop (Fig.6 *).

4 mm Cuff Last Next

Xin Wei, DDS, PhD, MS 1st edition 08/05/2017, last revision 09/03/2018