With insertion of Vanilla graft for sinus lift through the buccoapical portion of the osteotomy mentioned above, a 6x11 mm implant is placed with the same trajectory (Fig.2, <40 Ncm).  With adjustment of a 6.5x4(3) mm abutment and placement of Vanilla graft in the remaining sockets (Fig.2 *), an immediate provisional is fabricated.  The socket appears to heal 11 months postop (Fig.4).  Later a 5x4(3) mm abutment is placed for final restoration.  The palatal margin is low.

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Xin Wei, DDS, PhD, MS 1st edition 06/05/2019, last revision 01/18/2020