After extraction and debridement, a septal slot is made using a high-speed handpiece and a fissure bur  (Lindamann bur is not efficient in cutting).  Osteotomy starts in the middle of the septum (Fig.3: parallel pin) and gradually slides into the distal socket (Fig.4: tap).

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Xin Wei, DDS, PhD, MS 1st edition 02/25/2015, last revision 01/19/2018