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