Fig.5: Mirror view of the sockets immediately post extraction.  The MB socket is large.  The gingival one third of the palatal wall is defective, as indirectly indicated by granulation tissue palatally (<).  So the osteotomy for the immediate implant will not be placed in the palatal socket.  The septum is pointed coronally.  The pointed portion of the septum is removed; initial osteotomy is formed by 1.5 mm pilot drill in the septum, followed by 2-5 mm osteotomes with the depth of 17 mm.  The enlarging osteotomy is deviating buccally; drills are being used to move the osteoomy palatally without much success.

Immediate Implant Placed in Buccal Socket

Xin Wei, DDS, PhD, MS 1st edition 11/23/2013, last revision 09/07/2014