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