Since the root of the affected tooth deviates distal, osteotomy will be established mesial (Fig.2).  In fact it is not so easily accomplished; the osteotomy is initiated as mesial as possible (Fig.3 (yellow dashed line: original socket)).  To place the implant mesially, the initial osteotomy should be established higher in the mesial slope of the socket (Fig.3 red line). 

Narrowly Missing Mental Loop

Xin Wei, DDS, PhD, MS 1st edition 08/08/2017, last revision 08/08/2017