When the tooth #3 with severe buccal gingival recession is extracted and implants are placed at #3 and 4 with guide, sticky bone in 2 large pieces is packed between these implants with a previously large defect in a seemingly secure manner (Fig.1 *).  Use of a longer implant at #3 (11.5 mm vs. 10 mm) will reduce the chance of abutment screw loosening in the future.  The implant at #3 is placed in the palatal socket without apparently no sinus lift.

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Xin Wei, DDS, PhD, MS 1st edition 07/19/2019, last revision 12/28/2020