Since insurance preauthorization does not get approval for several times, the tooth #19 is extracted with socket preservation and periodontal dressing.  The latter dislodges in 1 day.  When the patient returns for follow up 4 days postop, the socket is exposed (Fig.9).  An immediate implant should have been placed to keep the graft in place.  In fact preauthorization letter arrived 1 day earlier.  It appears that guided surgery is indicated for limited bone height.

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Xin Wei, DDS, PhD, MS 1st edition 12/30/2017, last revision 08/11/2018