The loose implant is pushed distal (Fig.4 arrow) with placement of autogenous bone mesial (*).  The stable implant at #30 (Fig.3) and its abutment (Fig.4) are used as a post to hold periodontal dressing, which covers the wound at #31 after placement of collagen plug and suturing. The bone graft seems to remain in place, while the implants remain parallel to each other 3 months postop (Fig.7).  The implant is uncovered with placement of a 6.8x7 mm healing abutment 4 months postop.  When a cementation abutment (4.5x5.5(4) mm) is placed, the buccal margin is much lower than the lingual.  The patient enjoys mastication with the new implant crowns 3.5 months post cementation; the bone density around the implant at #31 increases (Fig.9).

Stable Implant Last Next

Xin Wei, DDS, PhD, MS 1st edition 12/13/2017, last revision 08/29/2018