This 60 year old female patient had an implant installed into #4 site [maxillary right second; 15]. The case was planned with Simplant software and the surgical guide was made. On insertion of the implant it was discovered that the implant would not advance all the way to the pre-planned depth. Post operative radiographs indicates that this was due to slight aberration in the guide which resulted in the implant being installed with little bit of a distal tilt compared to the original plan. Intraoperative decision was to graft around microthreads ( no membrane placed, no decortication ). Primary stability on installation was not 100% – the implant still was spinning some but with force applied. I was not able to achieve 100% primary closure either – about 1mm or less of the opening between the soft tissue margin upon suturing. What is your prognosis for this case? Tips for management of possible complications? Thank you very much for your time!
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