With the palatal mucoperiosteal flap attached the implant/bone segment, it is moved apically (Fig.14 black arrow).  Red circles: bone graft that prevents relapse of implant/bone segement.  Block graft is preferred.

Coronally the coronal portion is repositioned palatally while the apical portion buccally (Fig.15 red arrows).

Segmental Osteotomy

Xin Wei, DDS, PhD, MS 1st edition 02/28/2015, last revision 03/01/2015