[87madrigal]

I have actually seen a few studies about this, where the CBCT shows no to little bone but the implant is successful even after a decade. The main factor in these cases was the about of soft tissue. It being so apically I would not worry about it, learn from it and keep going. I see no reason why it would impact the success of the case. Like Ivan said, the buccal plate doesn’t seem to be perfed so you should be fine.

[87madrigal]

Hi Ash, as you continue to place more implants you will run into this. Like Ivan said, the reason is because the implant just can’t go lower (even if it’s tapered it needs a bit of osteotomy). I tend to use a 11.5 drill for my 10mm implants as I like them to be a little subcrestal. When this happens just take the implant out, set it aside, drill a little deeper and you should be good to go. 🙂

[87madrigal]

You’re on the right track with your planning. Prioritizing at least 1.5mm of buccal bone is crucial, and having over 2mm in the incisal 4mm is definitely a positive. As for the thinner palatal bone, you’re right that the thicker palatal tissue and improved blood supply can compensate to some extent.

However, when palatal bone starts getting below 1mm, that’s where I get cautious. The risk of resorption over time increases significantly, especially in areas with thinner bone. If you’re concerned, you might consider slightly under-preparing the osteotomy.

Ultimately, if you have good primary stability and the soft tissue is favorable, I’d say you’re in a good position, but monitor that area closely over time. Thin palatal bone can work, but below 1mm consistently would make me hesitate. If you have a think biotype of soft tissue then your prognosis will be much better!