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
GTR or Guided Tissue Regeneration material is placed in bony defect area. It is used to to assist in regeneration of bone tissue to maximize the potential for success of dental implant procedure.
Resorbable Tissue Replacement (RTR) placed labial to Dental Implant
It important to attain a water tight suture especially over the area with GTR or Guided Tissue/Bone Regeneration material.
Suture Technique on Dental Implant and Bony Defect with GTR