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Benjamin posted an update
First three career implants placed last month! Fully guided.
Some thoughts and questions:
The tissue punch for #29 probably left a less than ideal amount of buccal keratinized gingiva. One month later, patient has some irritation of the gingiva buccal to the healing abutment. In retrospect, I would have liked to flap rather than punch and try to build up some buccal attached gingiva.
At what torque would you start to be concerned about pressure necrosis? I felt torque was getting high on one of them so I backed it out. I tapped and felt more comfortable with the final torque.
I appreciate any honest, constructive feedback any of you may have.
