Immediate placement too close to buccal?

Last Updated July 13, 2018

I did this case for relative. This is a 4.2 x10mm implant that was an immediate placement. There was no perforation of the buccal cortical plate visually, but a CT scan showed that the implant was close to the buccal wall with maybe a half millimeter thick buccal wall remaining. I know they say you should try to have at least one millimeter of buccal bone. I feel caught off guard as I thought I had more then 1mm buccal bone. The middle third is my main concern as I am confident the coronal and apical thirds are solid.

Do you recommend that I remove and redo soon or leave it alone and continue to observe it? The implant has good primary stability and the gingiva is healthy.

Bone Grafts

Wide selection of grafting materials for all clinical needs!


Deliver predictable results with resorbable or non-resorbable options!

Surgical Kits

Specialized kits for Implant Surgery. Fixation Screws, PRF, and more!


20801 Biscayne Boulevard, Suite 403 Aventura, FL 33180