When a 6x17 mm tapered tap is being placed 14 mm deep from the gingival margin (Fig.6 T), vibration of the buccal plate is seemingly felt at the apex (Fig.10d green circle).  Further osteotomy may perforate the buccal plate.  A 6x14 mm tissue-level implant is placed with >60 Ncm of insertion torque (Fig.7,8 I), followed by a 5x3 mm abutment (A) and bone graft (* in the remaining socket gap).

Buccal Deviation

Xin Wei, DDS, PhD, MS 1st edition 02/15/2015, last revision 03/14/2015