The osteotomy is enlarged with Bicon reamers 2.5 to 4 mm.  Then 5x20, 6x20 and 7x17 mm taps are used to create threads and test stability of the taps.  It is found that the last tap (Fig.5) among the three provides the best binding to the bone.   The distoocclusal defect has been restored in the 2nd premolar with composite.

Return to Not Large Enough

Xin Wei, DDS, PhD, MS 1st edition 07/28/2014, last revision 02/13/2015