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A Lindamann bur is used to move osteotomy distal, but the implant (6x17 mm) is mainly placed in the mesial socket (Fig.3). An intraop drawback associated with the deviation is pain control. The nervous patient questions several times whether it is a good idea to place an implant in the infected site. Block anesthesia has to be administered. In fact lack of pain control may be also related to proximity to the Mental Loop (Fig.3 red dashed line). Fortunately no paresthesia occurs postop, since the implant is somehow placed lingually.
Implant placement in the distal socket is associated with poor restoration. To place the implant in the septum for this case, it would be the best to withdraw the 1st pilot drill (Fig.4). Then
Xin Wei, DDS, PhD, MS 1st edition 04/19/2015, last revision 04/20/2015