Fig.7: CBCT sagittal section.
Bone density at #19 seems to be low. Be ready for underprep. Place an implant at the site prior to extraction of #18 for position reference, although a surgical stent will be available for the region.
Extraction of the horizontally impacted #17 should be traumatic and should be avoided. After extraction of the tooth #18, place a shorter, wider (as compared to that at #19) implant at the mesial socket.
Mesial Socket Implant Placement at Lower 2nd Molar
Xin Wei, DDS, PhD, MS 1st edition 07/10/2016, last revision 07/10/2016