One year 5 months post socket preservation, the ridge looks wide at #2, but there is a buccal slope.  A freshly made surgical guide is placed at the site.  The mouth opening is limited.  Tissue punch, bone trimmer and most of drills have to be placed inside the guide before delivering into the mouth.  The 10.5 mm bone trimmer is difficult to use.  With heavy pressure, it goes down anyway.  When a 4.5x10 mm implant is placed, the guide is removed.  The implant seems to be buccally placed.  More importantly the buccal crest cannot be probed.  CT is taken: the implant is equicrestal buccal (Fig.1 ^). 

Buccal Slope     Last     Next Xin Wei, DDS, PhD, MS 1st edition 06/11/2020, last revision 06/11/2020