Bone quality for the 3rd implant is assessed under the raised full thickness flap. Drilling should follow the same desired RPM ang copious irrigation preferably with an NSS refrigerated the night before the surgery.
Bony defect near the site for the middle implant body
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[...] implant bone contact and avoid too much compression on the bone that may lead to necrosis of the implant bed. Implant was placed mesial to tooth number 22 (FDI Two-Digit [...]