Two of 3x14 mm 1 piece implant are placed with 4 mm gingival cuff (Fig.3 insertion torque >60 Ncm).  After preparation of the abutments and packing bone graft, a new PA is taken (Fig.4).  It appears that the graft is lacking mesial to the implant at the site of #23 (*).  More bone graft is then added to the area, which will facilitate bone healing.

The patient returns 4 months postop, wearing the same provisional.  The gingiva around the implants and neighboring teeth is inflamed due to poor oral hygiene and unmodified provisional.  Nevertheless, there is bone regrowth at the mesial crest of the implant at #23 (Fig.7).  Bone level improves from #4 thread (Fig3,4) to #2 one (Fig.7). 

The 1st thread appears to have been covered by the bone 2 years post cementation (Fig.10).

Repack Bone Graft Last Next

Xin Wei, DDS, PhD, MS 1st edition 09/11/2015, last revision 01/27/2019