When a definitive restoration is placed 15 months postop, there is distobuccal gingival recession (Fig.11).  S: smooth surface of the implant; *: rough surface of the implant.

The buccal bulging (arrowheads) may be related to thin or no buccal plate.  Bone graft at time of immediate implant may decrease the likelihood.

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Xin Wei, DDS, PhD, MS 1st edition 02/20/2014, last revision 03/11/2015