Perforated Lingual or Buccal There will be no problem if the fixture threads are imbedded in bone.
Perforated Bone Coronally Do a bone graft procedure if fixture threads are exposed at the coronal. Section small amounts of bone, mix with Resorbable Tissue Replacement, then place the bone graft material over the exposed threads.

Bone Graft Procedure on buccal bone plate. Photo credit: Oris Neobiotech
Written by
Jesus Lecitona DMD
Websites: Dentist – http://www.dentist.fm/
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Credit is given to oris neobiotech dental implant company.