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After sequential osteotomy until 4.3x10 mm drill, the osteotomy is in fact 11.5 mm deep; a 5x11.5 mm implant is placed with <35 Ncm (Fig.3).
The abutment dislodges 3 weeks postop. A healing abutment is placed (6.5x4 mm). The patient returns for restoration 4 months postop; bone density appears to increase around the implant (Fig.7 arrowheads). When a 7.5x5(4) mm abutment is placed, there is transient pressure on the gingiva (blanching). The mesial gingival trough is formed by Diode laser prior to impression.
Xin Wei, DDS, PhD, MS 1st edition 01/30/2017, last revision 06/04/2017