Since the tooth #18 has severely shifted and tilted mesially, the 2 edentulous spaces (#18 to be extracted) are evened by trimming the mesial surface of the tooth #18 (Fig.1 *) prior to osteotomy at #19 (a 2 mm pilot drill with 8 mm stopper in place).  Note a large mesiobuccal bony defect at #18.

Even Edentulous Space

Xin Wei, DDS, PhD, MS 1st edition 02/18/2016, last revision 02/18/2016