In fact the orthodontic treatment is not rendered.  A crown is cemented with Temp Bond 14 months postop.  The cortical bone is thickened around the implant 15 months post cementation (Fig.11).  The 4.5 mm implant appears to be able to handle occlusal load in this wide mesiodistal space.

Atrophic Ridge

Xin Wei, DDS, PhD, MS 1st edition 08/31/2017, last revision 09/02/2017