I was wondering if you all could comment on how you manage a mandibular lingual plate perforation during osteotomy preparation. I know that avoidance is the best method, but assuming you find a perforation would you graft and close or place some graft and try to re-orient the osteotomy and place a shorter implant. Does the position of the perforation i.e above or below the mylohyoid play a role as well as the degree of bleeding from the site?
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