The insertion torque of a 4.5x11.5 mm implant is ~ 55 Ncm (Fig.3) with 6.5x4(2) mm abutment. 

The patient returns for impression of final restoration 3 months 10 days postop.  PA shows mild crestal bone resorption with retention of the bone graft (Fig.6 arrowheads). 

Narrow Ridge

Xin Wei, DDS, PhD, MS 1st edition 10/21/2016, last revision 01/31/2017