Fig. 2

Operative protocol. a Secondary incisors (arrows). b Secondary incisors luxated with a 19-gauge. c H-shape flap design. d Extraction performed using root forceps. e Alternative extraction method using college tweezers. f Extraction sockets (arrows) and extracted secondary incisors at upper left corner. g Final placement of implants in the maxilla. h Reflected flap closed primarily using bio-absorbable sutures