The tooth #19 has mesial periapical radiolucency (Fig.1 *). 

After extraction, the mesial apical socket has a large defect (Fig.1' M).

The 2 mm pilot drill deviates apically to the mesial socket (the least resistance area, Fig.1", 2).  S: septum.

Deviation of Septum Placement

Xin Wei, DDS, PhD, MS 1st edition 04/19/2015, last revision 04/20/2015