After extraction, the buccal plate is found to be thin and low (Fig.5 arrowheads, much lower than indicated here). 

A 1.5 mm pilot drill (Fig.6 red line) is used to initiate osteotomy in the lingual plate of the socket.

Retrospectively, the osteotomy position should have been felt by holding the alveolus digitally as early as this moment, not until the lingual or buccal plate is perforated.

Rescue Implant

Xin Wei, DDS, PhD, MS 1st edition 03/07/2015, last revision 01/19/2018