loss of B-L width of bone since scan taken, dense bone, some loss of buccal bone after osteotomy widened to 3.5mm, widened to lingual, used some densah drills but implant placed with about 1.5mm of buccal exposed. overall buccal bone loss in site. decieded to place healing abutment and grafted buccal with 50/50 mix of mineralized cortical/xenograft followed by collagen membrane