[William]

Thank you Joelle and Apolinar for the valuable input !

[William]

Good day to all, I have another case in which I have postioned the implant too palatally because i was too focused on achieveing the maximum buccal bone thickness. Took a post operative CBCT and realised that about 3mm of implant is out of the cortical bone at the palatal side. Implant dimension is 3.3x12mm. Raised the palatal flap and noticed some thread exposure. Insertion torque is about 45Ncm and the palatal soft tissue is thick. Then, i grafted the area with some autogenous bone chips harvested during osteotomy.

Questions:

1) In this case, can I not graft the area with additional xenograft since it’s at the palatal side and the palatal keratinised gingiva is thick? And judging by the good primary stability

2) How would you manage this situation differently?

Thank you

[William]

Thank you Ivan and Jedediah for your reply. I have proceeded with impression scan. This is the photo of the implant. Implant was still firm and asymptomatic upon removal of healing abutment.

[William]

Hello Ivan, thank you for your reassurance. Here are some of the post operative one week photos. Good thing is patient has a low lip line. And yes, I could not relly see any exposure and I did place some bone graft with straumann xenoflex at the apical region. Have a great weekend !

[William]

Thank you all for the helpful input. I will update on the latest progress.

[William]

Thank you for your reassurance !