The mesiopalatal defect (Fig.4 (lingual view) *) will be bone grafted after implant placement.  Incision will be made after the 1st drill for access.  The guide will be made with gingival clearance.  A piece of 6-month membrane will be cut with a hole buccally to cover the bone graft and slide through the implant.  Choose a long cuff (4mm) 1-piece implant (e.g., 2.5x10(4) mm SM or 2.5x10 mm Mini IS with 10 mm abutment (long cuff)).

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Xin Wei, DDS, PhD, MS 1st edition 06/25/2019, last revision 04/13/2020