It appears that there is enough clearance for restoration of #19 (Fig.12). *: lingual cusp; A: abutment of the implant at the site of #19.  There is more clearance buccally.  It would be nice to rotate the tooth so that the lingual cusps are a little higher and the buccal ones lower.

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Xin Wei, DDS, PhD, MS 1st edition 08/26/2014, last revision 08/27/2014