implant was placed and loaded. Pt has pain to tapping implant crown, no other symptoms, esthetics are acceptable. Scan shows implant out of bone buccal. discussion on flap design, started with a small flap but with amount of bone loss, access was key, dropped a vertical. thorough cleaning around implant. grafted site with sticky bone from equal amounts mineralized cortical allograft, xenograft and synthetic bone. Collagen membrane soaked in prf fluid placed defect with 4 membrane tacks. fibrin membrane used overtop. Will assess symptoms in 5 months