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A 33-year-old woman fractures #20 equigingival with caries (Fig.1,2 barely salvageable). The dense bone suggests bruxism, making the RCT, post/crown tooth easily break again. The tooth #20 is vital; socket shield will be conducted. To further prevent buccal plate collapse, a 3.5 or 4.0x10 mm implant will be placed lingual (Fig.2). Will drills deviate buccal due to the dense lingual plate? Lindamann burs (various diameters) with metal cylinder should be fabricated.
Xin Wei, DDS, PhD, MS 1st edition 12/03/2019, last revision 12/18/2019