Due to high bone density, a 4.5 mm drill has to be used in order to place a 5x7.3 mm definitive implant (Fig.3).  In spite of the fact that the implant seems to be completely seated, the implant is ~ 1 mm supracrestal lingually. An accessory canal (yellow line) branches off the Inferior Alveolar Canal (red line).  It is associated with intraop pain.

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Xin Wei, DDS, PhD, MS 1st edition 10/07/2019, last revision 02/02/2020