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