When a 3x14 mm (12.5 mm in bone) 15 degree angled 1-piece implant is placed with normal trajectory (Fig.6), the buccal plate is perforated.  As the implant is redirected so that the apical end of the implant does not stick out buccally, the trajectory returns buccal (Fig.7).  The buccal aspect of the abutment is heavily reduced for an immediate provisional.  The perforation is repaired with Vanilla Graft and Collagen Dressing before suturing.  CT should have been taken preoperatively; the osteotomy should have been initiated as palatal as possible, as compared to that in Fig.5.

Impacted Canine Last Next Xin Wei, DDS, PhD, MS 1st edition 01/12/2018, last revision 06/16/2021