I’m a big fan of placing immediate implants when indicated. However, with this full arch case this patient had extreme buccal and facial undercuts which prevented immediate implant placement. 6cc’s of bone were used to graft a fair amount of the upper right and upper left quadrant using CGF protocols. 5 to 6 months later we have beautiful, healthy, and wide bone in which can properly support the implants for the long run.

Quick tip – Placing a direction indicator and/or implant driver if one implant is placed can help you keep multiple implants parallel as you create your osteotomies as depicted in my first photo.

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