Removal of the mesial curved root tip turns out to be difficult, requiring an early incision on the ridge (Fig.2 R) of #19 and bone removal mesial to the mesial socket (M).  The position of the osteotomy at the latter site is aided by an implant spacer of 4 mm.

Atypical Immediate Implant

Xin Wei, DDS, PhD, MS 1st edition 05/07/2015, last revision 05/08/2015