It is surprised to find that there is no granulation tissue to be curetted from the apex of the socket.  Osteotomy is not chosen in the original socket (Fig.1 blue dashed line), since the axis is too oblique for restoration.  Instead osteotomy is initiated in the mesial slope of the socket (Fig.1 (P: parallel pin)).   The parallel pin is not completely seated (green dashed outline).  Red dashed line: the superior border of the Inferior Alveolar Canal.

Dense Mesial Slope Next

Xin Wei, DDS, PhD, MS 1st edition 10/05/2015, last revision 12/19/2018