When the guide with 10.5 mm offset is seated at #11 after extraction, it looks buccal.  Pointed drill creates an entry point in the mesial portion of the socket.   PA, taken following 2.2x11.5 mm drill, shows acceptable mesiodistal trajectory (Fig.1).  When a 3.5x11.5 mm implant is placed, it is difficult to withdraw the driver from the metal tube (Fig.1 *). 

Buccal Deviation Last Next

Xin Wei, DDS, PhD, MS 1st edition 12/19/2019, last revision 03/18/2021