The guide does not arrive when the tooth #19 is extracted.  Osteotomy is initiated free hand in the mesial socket as planned, slightly lingual, for 11.5 mm (overprep for a 10 mm implant to be seated completely, Fig.1).

Free Hand Next

Xin Wei, DDS, PhD, MS 1st edition 12/13/2018, last revision 12/13/2018