When a 7x17 mm tap is being inserted, the patient feels pain, possibly related to expanding the weakened buccal plate.  A smaller, but longer implant is finally placed (6x20 mm with insertion torque 55 Ncm, Fig.6).  The shortcoming is that primary closure cannot be achieved over the tissue-level implant, whereas bone-level implants available are too short.

The patient returns for restoration 8.5 months postop; it appears that the implant has osteointegrated (Fig.7).  Bone density around the implant increases, as compared to Fig.6.

Long Rescue Implant

Xin Wei, DDS, PhD, MS 1st edition 02/24/2015, last revision 11/10/2015