The tooth #19 is easy to get loose, but it cannot be luxated.  After sectioning and extraction (Clindamycin), the septum is found to be thin (Fig.4).  A surgical fissure bur is used to initiate osteotomy, followed by 1.6 mm pilot drill.  It is difficult to use Marking bur (wobbling over the basically pointed septum).  It is impossible to use 4.3 mm Magic Drill (MD, one drill system), since it jumps.  The smallest MD has to be used (2.8 mm).

Implant with Low Torque Fig.2 Next

Xin Wei, DDS, PhD, MS 1st edition 10/18/2016, last revision 09/03/2018