Low Bone Density Palatal

To reduce abutment screw loosening associated with low palatal bone density and buccal implant placement at #14, a Bicon implant will be placed (5x6 mm) with a healing abutment.  Save bone in case of bone graft.  Use 5 mm Bicon reamer free hand after drill sequence with guide except the last drill.  Also open UF guide kit to see whether there are 5 mm drills.  Prepare sensor 1 for PA and sensor 2 for BW.  Place a separator between 12 and 13 for ortho immediately postop.  Palatal socket shield should have been done to reduce bone graft loss before wound healing.

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Xin Wei, DDS, PhD, MS 1st edition 10/19/2019, last revision 11/19/2019